One of the best accounts ever written of deep-water diving and its staggering, haunting dangers' Robert Kurson, New York Times bestselling author of Shadow Divers Deep underwater lurks a mysterious man-made illness. It has gone by many names over the years – Satan’s disease, diver’s palsy, the chokes – but today, medics call it decompression sickness. You know it as the bends. That’s the devil British diver Martin Robson faces each time he plunges beneath the surface. In the winter of 2012, Robson was part of an expedition to Blue Lake, southern Russia, which sought to find a submerged cave system never seen by the human eye. On the final day of the expedition, as Robson returned from diving deeper into the lake than anyone had before, disaster struck: just seventy-five feet down, he was ambushed by the bends. Robson knew that if he continued up to the surface he would probably die before help arrived. Instead, he sank back into the water, gambling on an underwater practice most doctors believe is a suicidal act. Soon the only hope he had of saving his life would rest in the hands of a dramatic mercy mission organised at the highest levels of the Russian government. Between the Devil and the Deep is the first book to tell the terrifying true story of what it feels like to get the bends, taking you inside the body and mind of a man who suffered the unthinkable. Writer Mark Cowan also explores the grimly fascinating history of decompression sickness, the science behind what causes the disease, and the stories of the forgotten divers who pushed the limits of physical endurance to help find a solution.
Organised into 14 sections and 51 chapters, the book begins by discussing current issues regarding volume and training for open surgery in endovascular surgery. Subsequent sections focus on endovascular intervention. Contemporary clinical data regarding endovascular aortic repair is reviewed. Other topics covered include endovascualr and open management of aortic branch pathology. The Modern Trends in Vascular Surgery series brings together the best, current strategies for therapeutic and clinical practices. These books contain the latest discoveries, techniques, practice and out comes in vascular surgery. There are approximately 25 to 45 chapters in each book, classified under the following headings: cerebrovascular, ischemia , infrainguinal lesions, aortic aneurysm, thoracic aortic pathology, aorta and its major branches, upper extremity ischemia, venous disorders, hemodialysis access, endovascular technology, noninvasive test, and issues in vascular surgery. Each of the chapters contains valuable illustrations, tables, and a list of references to guide the reader through the chapter. All chapters are reviewed and edited by the editors (James S. T. Yao, William Pearce, Jon Matsumura, Mark Morasch, and Mark Eskandari). This series of books ( 5 in all) is focused on specific topics in vascular surgery. For each title the editors will assume the responsibility of adding the latest information and new chapters and to update all of the content, thus making these books more cohesive and with newer, up-to-date information. The resulting product is a comprehensive review of current knowledge across all of vascular surgery, covering: Carotid Artery Diseases, Surgery of the Aorta, Venous Disorders, Endovascular technology and Ischemic Extremities.
The purpose of this book is to teach nurses and other allied health professionals how to easily and confidently interpret 12-lead electrocardiograms using the principles of pattern recognition. We begin with some basic principles and then move on to more specific clinical topics. Areas covered include right and left bundle branch block as well as the fascicular blocks. A fast and easy way to determine axis deviation is presented. Other topics include chamber enlargement and
In August 1914, Admiral Alfred von Tirpitz convinced the German armed forces to create a new unit, called the MarineDivision Flandern, to garrison the Belgian coastline and prepare naval bases in for the implementation of a naval guerrilla war against Great Britain. The Germans called their strategy Kleinkrieg, or little war, and they intended to whittle away at British naval superiority by using their submarines and destroyers. Later expanded into the MarineKorps, the unit soon found itself in the middle of a land war as well. What had been intended as a garrison unit found itself on the frontlines when the war stalemated. The British had traditionally seen Belgium as a dagger pointed at the throat of England, and the Royal Navy feared what use the Germans might make of the position. The result was an active naval campaign in the English Channel. Karau brings to light the contributions of the MarineKorps Flandern, a force often neglected by historians. He examines the role of the MarineKorps in both land and naval wars and reaffirms the increasingly important role played by aircraft in the Flanders theater. If Belgium was a weapon pointed at the British throat, were the Germans properly equipped to wield the dagger?
A valuable resource for anyone interested in the development of memory. This text discusses the development of long-term memory, including autobiographical memory, and argues that memory is an adaptive mechanism for the development and survival of humans and non-human animals.
Developmental psychopathology seeks to unravel the complex connections among biological, psychological, and social-contextual aspects of normal and abnormal development. This volume presents the core and cutting-edge principles of the field in an integrative, accessible manner. The investigatory lens is focused on the primary context in which children develop--the family. Reviewing current research in such areas as attachment and parenting styles, marital functioning, and parental depression, the volume examines how these variables may influence developmental processes across a range of domains and, in turn, predict the emergence of clinical problems. Illuminated are the interplay of risk and protective factors, biological and contextual influences, and continuous and discontinuous patterns of development in childhood and adolescence. Also considered in depth are the ways in which the developmental psychopathology perspective points to new directions in diagnosis, prevention, and treatment of child emotional and behavioral disorders. Featuring a wealth of figures, tables, and illustrative vignettes, this is a valuable source book for practititioners, scholars, and other professionals in mental health and related disciplines. It will also serve as a text in graduate-level courses on developmental psychopathology and clinical child psychology.
The relationship between faith and reason is multifaceted. Faith transcends reason in that it is more than reason alone can contain or fully guarantee, yet it is neither unreasonable nor something to which reason is irrelevant—and reason says some pretty fine things about it! This volume updates nine previously published articles on faith and reason by a Christian philosopher who has been studying these matters for two decades, alongside one new essay and a philosophical dialogue. These articles explain and integrate key ideas on faith and reason, including Alvin Plantinga’s account of how Christian belief can be knowledge even without evidence; defenses of faith from Augustine and William James; accounts of empirical evidence for faith from different world religions; the distinction between faith and sight in the New Testament; the structure of the evidence for the authority of the Bible; the idea that faith transcends reason because some articles of faith are beyond human comprehension, even if we have evidence that they are true; and the nature of faith as a total commitment beyond what the evidence alone can guarantee.
Perfect for readers of How God Changes Your Brain, two researchers present over thirty brain exercises to help readers generate happiness and success, in business and in life. ”This remarkable book translates state-of-the art neuroscience into practical techniques that rapidly promote personal transformation. If you want to double your happiness and your income, start using these powerful brain-changing exercises today!” ―John Assaraf, New York Times bestselling author and CEO of NeuroGym Adapted from a business school course they created for professionals, bestselling author Mark Waldman and Chris Manning present simple brain exercises, based on the latest neuroscience research, to guide readers to improvement in all parts of life, from work to home, from how we think to how we feel. Their promise is to help people create more "wealth" in their lives, defined as the combination of money, happiness, and success. Using the latest research studied by two experts in their field, the book presents both the scientific background and sets of “NeuroWisdom” exercises that will help people reduce neurological stress and increase happiness, motivation, and productivity. The “worry” centers of the brain are turned off and the optimism circuits are turned on. Work becomes more pleasurable and creativity is increased, enabling the brain to anticipate and solve problems more efficiently. From the cutting edge of brain science to real-world solutions, these exercises help readers gain the wisdom that leads to greater fulfillment.
Widely considered to be the most comprehensive and accessible textbook in the field of Cognitive Psychology Emphasis on applied cognition with ‘in the real world’ case studies and examples Comprehensive companion website including access to Primal Pictures’ interactive 3D atlas of the brain, test simulations of key experiments, multiple choice questions, glossary flashcards and instructor PowerPoint slides Simple, clear pedagogy in every chapter to highlight key terms, case studies and further reading Updated references throughout the textbook to reflect the latest research
By the time you're done reading this book, you'll know: if surgery, chemotherapy or radiotherapy are effective treatments for cancer; if cancer screening programs save lives or result in mass over-diagnosis and over-treatment; if the cancer industry has suppressed cures or effective treatments from the public"--Back cover.
How Can You Use Your Mind to Transform Your Brain to Make Yourself Happier? Your default programming—the automatic choices all of us make in life without even noticing—can sabotage you, but you can learn to interrupt your self-defeating behavior and make better choices. Steven J. Fogel shares what scientists have discovered about your ability to “rewire” your brain to act in ways that will make you happier and offers sage advice about how to resolve long-term dysfunctional relationships that are causing you stress, frustration, and pain. Put the past where it belongs—in the past. Be mindful, live in the present, and lead a fulfilling life full of possibilities!
The Oxford Specialist Handbook of Urological Surgery returns fully updated for a second edition to guide the reader step-by-step through all types of urological operations. Including both background information on key urological problems and alternative surgical options, this Handbook is designed to guide the trainee through all aspects of urological surgery, from gaining clear and accurate consent to examining risks and complications of procedures. With each chapter written by subspecialty experts, this Handbook is packed with tips and tricks that offer practical and theatre-based advice gleaned over years of theatre experience to aid the reader. It also includes helpful pointers on aspects of surgery including patient positioning, indications and contraindications, types of incisions, and choice of ideal instrument, alongside aftercare and follow-up for the patient. Fully updated in accordance with new European guidelines and NICE clinical guidance, with extra topics on technological developments including robotic assisted surgery and a brand new chapter on female urology and incontinence, the Oxford Specialist Handbook of Urological Surgery is an essential resource for all urological trainees and junior doctors.
This volume will try to put current therapy - achievements, shortcomings, remaining medical needs - and emerging new targets into the context of increasing knowledge regarding the genetic and neurodevelopmental contributions to the pathophysiology of schizophrenia. Some of the chapters will also deal with respective experimental and clinical methodology, biomarkers, and translational aspects of drug development. The volume will concentrate on reviewing the ongoing research attempting to identify novel treatments for the cognitive deficits and negative symptoms of schizophrenia, which are not treated adequately by current antipsychotic medications.
This comprehensive and practical reference is the perfect resource for the medical specialist treating persons with spinal cord injuries. The book provides detail about all aspects of spinal cord injury and disease. The initial seven chapters present the history, anatomy, imaging, epidemiology, and general acute management of spinal cord injury. The next eleven chapters deal with medical aspects of spinal cord damage, such as pulmonary management and the neurogenic bladder. Chapters on rehabilitation are followed by nine chapters dealing with diseases that cause non-traumatic spinal cord injury. A comprehensive imaging chapter is included with 30 figures which provide the reader with an excellent resource to understand the complex issues of imaging the spine and spinal cord.
How to Survive Your Freshman Year (6th edition) is the perfect send-off gift for college-bound high school graduates. This revamped edition of America's #1 college advice guide includes new advice from hundreds of college students from around the country, alongside the best timeless advice from earlier editions. This ultimate “insider’s guide” to college life helps entering freshmen navigate the challenging transition to college life. In addition, the book features expert advice from college advisers and administrators, mental health professionals and others.
In the lifetimes of the authors, the world and especially the United States have received three significant “wake-up calls” on energy production and consumption. The first of these occurred on October 15, 1973 when the Yom Kippur War began with an attack by Syria and Egypt on Israel. The United States and many western countries supported Israel. Because of the western support of Israel, several Arab oil exporting nations imposed an oil embargo on the west. These nations withheld five million barrels of oil per day. Other countries made up about one million barrels of oil per day but the net loss of four million barrels of oil production per day extended through March of 1974. This represented 7% of the free world’s (i. e. , excluding the USSR) oil production. In 1972 the price of crude oil was about $3. 00 per barrel and by the end of 1974 the price of oil had risen by a factor of 4 to over $12. 00. This resulted in one of the worst recessions in the post World War II era. As a result, there was a movement in the United States to become energy independent. At that time the United States imported about one third of its oil (about five million barrels per day). After the embargo was lifted, the world chose to ignore the “wake-up call” and went on with business as usual.
Almost every week reports of violence erupting in the workplace make headlines. Contrary to popular opinion, such incidents are not random and senseless but, according to Richard V. Denenberg and Mark Braverman, typically result from conflict that has been allowed to fester. Combining the insights of both crisis management and dispute resolution, their book presents a comprehensive look at the problem of violence on the job, including ways of preventing it.Rather than focusing on the supposedly "lethal" or dysfunctional employee as the source of danger, Denenberg and Braverman point to the dysfunctional workplace as the problem. They describe underlying factors in the workplace which can foster extreme behavior and prevent an effective response. Calling for early intervention in situations that could result in violence, the authors suggest specific techniques for reducing the risk that an office, plant, or school will suffer crises arising from threats or a climate of hostility.At the heart of the book are fourteen vivid examples of real-life incidents involving violence, a threat of violence, or a perception that such a threat was made. They include instances in which domestic violence spilled over into the workplace, difficulties caused by racial and ethnic tension, and explosive behavior in response to common workplace occurrences such as downsizing or a change in corporate culture. Each example is followed by an analysis of the response to the actual or potential danger, indicating where mistakes were made because of poor information, bad judgment, absence of a clear policy, lack of consensus, or even irrational fear. An extensive appendix provides government guidelines and sample policies intended to serve as templates for violence-prevention plans. Both the examples and sample policies allow organizations to benefit from the experience of others and avoid common mistakes.
ADD: The 20-Hour Solution explains how EEG biofeedback (neurofeedback) addresses the underlying problem and characteristics of ADD and ADHD, so that symptoms resolve and tangible improvement results. This book describes the method by which we can improve the brain's ability to pay attention and regulate its behavior. It explains the self-healing capacities of the human brain and how it can learn or re-learn the self-regulatory mechanisms that are basic to its normal design and function. This book shows: .What ADD really is and how the brain maintains self-regulation.How and why EEG biofeedback (neurofeedback) helps people with ADD.What parents can do to get their child on-track to healthy adjustment and development.How to talk to doctors, therapists, teachers, and others about ADD.Good assessment procedures and how they contribute to effective treatment.How self-control, personal choice, and responsibility for one's behavior relate to scientific principles of brain functioning.How to find appropriate resources and get started with neurotherapyThe book also lists specific up-to-date resources on where to find information on EEG neurofeedback and how to find providers throughout the world
Widely recognized as the gold standard reference in the field, Green's Operative Hand Surgery, 8th Edition, provides complete coverage of the surgical and nonsurgical management of the full range of upper extremity conditions. In a clearly written and well-illustrated format, it contains both foundational content for residents and fellows as well as new approaches, case-based controversies, and outcomes-based solutions for practitioners. Drs. Scott W. Wolfe, William C. Pederson, Scott H. Kozin, and Mark S Cohen, along with new, international contributing authors, provide expert perspectives and preferred methods for all aspects of today’s hand, wrist, and elbow surgery. Contains thoroughly revised and updated indications and techniques to treat the full spectrum of upper extremity disorders. Highlights the latest advances and approaches, such as wide-awake local anesthesia no tourniquet (WALANT) hand surgery, nerve transfer techniques, tendon transfer and tendon avulsion repairs, skin grafting techniques, and more. Offers nearly 140 innovative and high-resolution videos (99 are NEW) that provide real-life, step-by-step guidance on key procedures. Provides state-of-the-art information on wrist arthritis, hand trauma, new arthroplasties, targeted muscle reinnervation, wrist instability surgeries, fracture management, rehabilitation, congenital disorders, orthotic interventions, and more. Includes newly updated, high-resolution illustrations, images, and photos throughout. Presents case-based controversies and unique solutions, plus current views on what works and what does not, based on recent science and outcome measures.
The first consolidated textbook explaining the mechanism of clinical signs commonly seen in medicine. Mechanisms of Clinical Signs is the first consolidated text of its kind; designed to help medical students and junior doctors understand the pathophysiological mechanisms behind clinical signs. Unlike existing clinical examination textbooks which are predominantly organised by disease systems and states, Mechanisms of Clinical Signs is arranged by body system; bridging the gap between identifying clinical signs and understanding the causes behind them. Presented in a useful handbook style, Mechanisms of Clinical Signs discusses the evidence base and clinical value of each clinical sign to assist with interpretation. Examples are plentiful and include such signs as distinctive tremors in a Parkinson's disease patient and red hands on a patient with liver disease. As well as being an easy-to-follow reference for clinical signs seen on the ward, Mechanisms of Clinical Signs is an excellent study aid - particularly useful for those preparing for 'Viva' or 'OSCE' practical stations. The ability to accurately identify and interpret clinical signs of disease upon examination is a vital first step in correct diagnosis and treatment. Mechanisms of Clinical Signs is therefore an essential textbook for medical students and new practitioners. Online StudentConsult resources accompany Mechanisms of Clinical Signs upon purchase.
This brand-new, full-color reference is a foundational text for veterinarians and veterinary students learning about companion exotic animal diseases. Organized by body system, Current Therapy in Exotic Pet Practice walks students through the most relevant information concerning the diagnosis and treatment of exotic animals - including the most relevant information on anatomy, physical examination, diagnostic testing, disease conditions, therapeutics, epidemiology of diseases, and zoonoses. Topics such as captive care, current standards of care for all exotic species, veterinary clinical epidemiology, and the effective prevention and management of infectious diseases are also included. Expert guidance on treating various disease conditions provides authoritative support for veterinarians who are less experienced in companion exotic pet care. Renowned authors and editors carefully selected topics of real clinical importance. Detailed coverage on how to identify and treat diseases (from common to rare) helps alleviate apprehension a veterinarian may feel when treating an unfamiliar species. Includes the latest information from the current scientific literature and addresses hot topics associated with treating companion exotic animals today. Vivid full-color images demonstrate the unique anatomic and medical features of each group of animals covered.
Edited and authored by some of the most respected figures in the field, Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of Female Pelvic Medicine and Reconstructive Surgery (FPMRS), equipping you to make the best clinical decisions and optimize outcomes. It’s easily accessible format is uniquely organized to reflect a physician's decision-making process -- from basic concepts through to clinical and urodynamic evaluation, management, and treatment. This practical, clinically oriented text is an ideal resource for OB/GYNs and Urologists as well as subspecialists in FPMRS, providing the latest information on procedures and available research regarding the evaluation and treatment of the growing number of patients presenting with these types of conditions. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Glean all essential, up-to-date, need-to-know information with a new section on surgical complications and their management; important new discussions on the psychosocial issues associated with treating patients with female pelvic floor disorders; and a new focus on female sexual function and dysfunction. Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure, complete with personal techniques and tips from leading experts. Put concepts into practice. Case presentations from leading experts in FPMRS allow the reader to apply the information presented to everyday clinical situations. Effectively detect, prevent and treat common female pelvic floor disorders including stress incontinence, overactive bladder, pelvic organ prolapse, defecation disorders, painful bladder and irritative voiding disorders, and urinary tract infection. Get a true-to-life view of each procedure through full-color, crisp illustrations that illuminate every detail and nuance. Stay current the latest advancements and developments with sweeping updates and 9 NEW chapters: Congenital Anomalies of the Female Genital and Urinary Tracts l Physiology of the Pelvic Muscles, Vagina and Ano-Rectum l Female Sexual Function and Dysfunction l Multichannel-Urodynamics: Indications, Techniques and Interpretation with Case Studies l Video and Ambulatory Urodynamics: Indications, Techniques and Interpretation with Case Studies l Hysteropexy l Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery l Managing Mesh and other Vaginal Complications after Surgeries for Incontinence and Prolapse l and Surgical Management of Detrusor Compliance Abnormalities. Master urodynamic testing with step-by-step instructions on basic evaluation as well as the evaluation of complex cases with videourodynamics. Know what to do and expect with algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and clear full-color surgical illustrations as well as evidence-based assessments of appropriate therapies.
A Prehistory of North America covers the ever-evolving understanding of the prehistory of North America, from its initial colonization, through the development of complex societies, and up to contact with Europeans. This book is the most up-to-date treatment of the prehistory of North America. In addition, it is organized by culture area in order to serve as a companion volume to “An Introduction to Native North America.” It also includes an extensive bibliography to facilitate research by both students and professionals.
Edited and authored by some of the most respected figures in the field, Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of Female Pelvic Medicine and Reconstructive Surgery (FPMRS), equipping you to make the best clinical decisions and optimize outcomes. Its easily accessible format is uniquely organized to reflect a physician's decision-making process -- from basic concepts through to clinical and urodynamic evaluation, management, and treatment. This practical, clinically oriented text is an ideal resource for OB/GYNs and Urologists as well as subspecialists in FPMRS, providing the latest information on procedures and available research regarding the evaluation and treatment of the growing number of patients presenting with these types of conditions. Glean all essential, up-to-date, need-to-know information with a new section on surgical complications and their management; important new discussions on the psychosocial issues associated with treating patients with female pelvic floor disorders; and a new focus on female sexual function and dysfunction. Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure, complete with personal techniques and tips from leading experts. Put concepts into practice. Case presentations from leading experts in FPMRS allow the reader to apply the information presented to everyday clinical situations. Effectively detect, prevent and treat common female pelvic floor disorders including stress incontinence, overactive bladder, pelvic organ prolapse, defecation disorders, painful bladder and irritative voiding disorders, and urinary tract infection. Get a true-to-life view of each procedure through full-color, crisp illustrations that illuminate every detail and nuance. Stay current the latest advancements and developments with sweeping updates and 9 NEW chapters: Congenital Anomalies of the Female Genital and Urinary Tracts l Physiology of the Pelvic Muscles, Vagina and Ano-Rectum l Female Sexual Function and Dysfunction l Multichannel-Urodynamics: Indications, Techniques and Interpretation with Case Studies l Video and Ambulatory Urodynamics: Indications, Techniques and Interpretation with Case Studies l Hysteropexy l Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery l Managing Mesh and other Vaginal Complications after Surgeries for Incontinence and Prolapse l and Surgical Management of Detrusor Compliance Abnormalities. Master urodynamic testing with step-by-step instructions on basic evaluation as well as the evaluation of complex cases with videourodynamics. Know what to do and expect with algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and clear full-color surgical illustrations as well as evidence-based assessments of appropriate therapies.
This study explores the consumption practices of the landed aristocracy of Georgian England. Focussing on three families and drawing on detailed analysis of account books, receipted bills, household inventories, diaries and correspondence, Consumption and the Country House charts the spending patterns of this elite group during the so-called consumer revolution of the eighteenth century. Generally examined through the lens of middling families, homes and motivations, this book explores the ways in which the aristocracy were engaged in this wider transformation of English society. Analysis centres on the goods that the aristocracy purchased, both luxurious and mundane; the extent to which they pursued fashionable modes and goods; the role that family and friends played in shaping notions of taste; the influence of gender on taste and refinement; the geographical reach of provisioning and the networks that lay behind this consumer activity, and the way this all contributed to the construction of the country house. The country house thus emerges as much more than a repository of luxury and splendour; it lay at the heart of complex networks of exchange, sociability, demand, and supply. Exploring these processes and relationships serves to reanimate the country house, making it an active site of consumption rather than simply an expression of power and taste, and drawing it into the mainstream of consumption histories. At the same time, the landed aristocracy are shown to be rounded consumers, driven by values of thrift and restraint as much as extravagant desires, and valuing the old as well as the new, not least as markers of their pedigree and heritance.
Over 3,800 exquisite images demonstrate every principle and capture the characteristic presentations of the most frequently encountered disorders. The result is a remarkably thorough, yet focused and pragmatic, source of clinical guidance.The New Edition updates and distills all of the most important content from Dr. Donald Resnick's 5-volume Diagnosis of Bone and Joint Disorders, 4th Edition into a single, concise source. Together with new co-editor Mark J. Kransdorf, MD, Dr. Resnick and 38 other distinguished experts zero in on the specific, state-of-the-art musculoskeletal imaging and interpretation knowledge practitioners need today. Provides 2,900 outstanding images that depict all important concepts, techniques, and findings. Represents a highly efficient review source for oral and written radiology examinations, as well as an indispensable reference tool for clinical practice. Covers hot topics such as spinal interventional procedures • cartilage imaging • disorders of muscle • diagnostic ultrasonography • internal derangement of joints • target-area approach to articular disorders • rheumatoid arthritis and related diseases • crystal-induced diseases • sports injuries • MR arthrography • and much more. Offers an increased emphasis on MR imaging, an increasingly important and versatile diagnostic modality. Presents many new illustrations not found in the Diagnosis of Bone and Joint Disorders, 4th Edition 5-volume set.
Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
Concise, empowering, and inspirational, this introduction to promoting change offers practical knowledge, and features more than 150 guidelines brought to life with down-to-earth, often humorous language. Replete with the wisdom of more than four decades of experience in the field, Mark S. Homan demystifies the community change process by providing nuts-and-bolts rules for success, including eight essential steps for building an organized change effort. Homan’s outline for community change is invaluable in any setting, from grassroots organizations to governments or community agencies. Writing in a conversational, informal style, Homan leads readers through the basic things they need to know about themselves, about others, and about the change process itself. As they put these ideas into action, they will identify skills, attitudes, and choices important to their success as a change agent in the community.
This book provides readers with a foundation in policy development and analysis, describing how policy, including legal mechanisms, are applied to the marine environment. It presents a systematic treatment of all aspects of marine policy, including climate change, energy, environmental protection, fisheries, mining and transportation. The health of marine environments worldwide is steadily declining, and these trends have been widely reported. Marine Policy summarizes the importance of the ocean governance nexus, discussing current and anticipated challenges facing marine ecosystems, human activities, and efforts to address these threats. This new, fully revised edition has been updated throughout, including content to reflect the recent advances in ocean management and international law. Chapters on shipping, energy/mining and integrated approaches to ocean management have been significantly reworked, plus completely new chapters on the United Nations Convention on the Law of the Sea, and the impacts of climate change have been added. Pedagogical features for students are included throughout. Aligned with current course offerings, this book is an ideal introduction for undergraduates and graduate students taking marine affairs, science and policy courses.
A pervasive aspect of human communication and sociality is argumentation: making and criticizing reasons in the context of doubt and disagreement. This book offers an innovative theoretical framework for analyzing, evaluating, and designing polylogues, understood as practices of managing disagreements among multiple positions, players, and places.
From the Revolutionary War to the Civil War, a familiar scene appears and reappears in American literature: a speaker stands before a crowd of men and women, attempting to mitigate their natural suspicions in order to form a body of federated wills. In this important study of the relationship of literature and politics, Mark Patterson argues that this scene restates political issues in literary terms and embodies the essential problems of American democracy facing both politicians and writers: What is autonomy? How does representation work? Where does true authority lie? Beginning with the debate over ratification of the United States Constitution, Patterson follows out the complex literary consequences of these questions. A work of literary history and criticism, this study also offers valuable insights into matters of political and literary theory. In separate chapters on Benjamin Frankin, Hugh Henry Brackenridge, and Charles Brockden Brown in the post-Revolutionary period and on Fenimore Cooper, Emerson, and Melville in the antebellum period, Patterson provides a series of brilliant readings of major texts in order to describe how American writers have conflated political and literary concerns as a means to their own social authority. Originally published in 1988. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.