Comprehensive resource describing guidelines for safely reducing or stopping (deprescribing) antidepressants, benzodiazepines, gabapentinoids and z-drugs for patients, including step-by-step guidance for all commonly used medications, covering common pitfalls, troubleshooting, supportive strategies, and more. Most formal guidance on psychiatric medication relates to starting or switching medications with minimal guidance on deprescribing medication. In 2023, the World Health Organisation and the United Nations called for patients, as a human right, to be informed of their right to discontinue treatment and to receive support to do so. The Maudsley Deprescribing Guidelines fills a significant gap in guidance for clinicians by providing comprehensive and authoritative information on this important aspect of treatment. The evidence-based handbook provides an overview of principles to be used in deprescribing. This is derived from fundamental scientific principles and the latest research on this topic, combined with emerging insights from clinical practice (including from patient experts). Building on the recognised brand of The Maudsley Prescribing Guidelines, and the prominence of the authors' work, including in The Lancet Psychiatry on tapering antidepressants (the most read article across all Lancet titles when it was released). The Maudsley Deprescribing Guidelines covers topics such as: Why and when to deprescribe antidepressants, benzodiazepines, gabapentinoids and z-drugs Barriers and enablers to deprescribing including physical dependence, social circumstances, and knowledge about the discontinuation process Distinguishing withdrawal symptoms from dose reduction, such as poor mood, anxiety, and insomnia, from symptoms of the underlying disorder that medication was intended to treat The difference between physical dependence and addiction/substance use disorder Explanation of why and how to implement hyperbolic tapering in clinical practice Specific guidance on formulations of medication and techniques for making gradual reductions, including using liquid forms of medication, and other approaches Step-by-step guidance for safely stopping all commonly used antidepressants, benzodiazepines, gabapentinoids and z-drugs, including fast, moderate and slow tapering regimens or schedules for each drug, and guidance on how to tailor these to an individual Troubleshooting issues which can arise on stopping these medications, including akathisia, withdrawal symptoms, acute or protracted, and relapse. Written for anyone interested in safe deprescribing of psychiatric medications including psychiatrists, GPs, pharmacists, nurses, medical trainees, and interested members of the public. The Maudsley Deprescribing Guidelines is an essential resource on the subject that provides practical guidance on how to improve patient outcomes in this field of medicine.
Now with more balanced coverage of Western and non-Western regions, this leading text has been revised and updated with the latest theories, policy information, and interdisciplinary research. The book explores the causes, dynamics, and consequences of international population movements, as well as the experiences of migrants themselves. Chapters examine migration trends and patterns in all major world regions, how migration transforms both destination and origin societies, and the effects of migration and increasing ethnic diversity on national identity and politics. Useful pedagogical features include boxed case studies; extensive tables, graphs, and maps; end-of-chapter Guides to Further Reading; and a companion website with additional case studies, interactive flashcards, and other resources for students and instructors.--
The revised, streamlined, and reorganized DeLee & Drez’s Orthopaedic Sports Medicine continues to be your must-have orthopaedics reference, covering the surgical, medical, and rehabilitation/injury prevention topics related to athletic injuries and chronic conditions. It provides the most clinically focused, comprehensive guidance available in any single source, with contributions from the most respected authorities in the field. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Be prepared to handle the full range of clinical challenges with coverage of both pediatric and aging athletes; important non-orthopaedic conditions involved in the management of the athlete; rapidly evolving techniques; and sports-related fractures. Understand rehabilitation and other therapeutic modalities in the context of return to play. Take advantage of in-depth coverage of arthroscopic techniques, including ACL reconstruction, allograft cartilage transplantation, rotator cuff repair, and complications in athletes, as well as injury prevention, nutrition, pharmacology, and psychology in sports. Equip yourself with the most current information surrounding hot topics such as hip pain in the athlete, hip arthroscopy, concussions, and medical management of the athlete. Remain at the forefront of the field with content that addresses the latest changes in orthopaedics, including advances in sports medicine community knowledge, evidence-based medicine, ultrasound-guided injections, biologic therapies, and principles of injury prevention. Enhance your understanding with fully updated figures throughout. Take a global view of orthopaedic sports medicine with the addition of two new international section editors and supplemental international content. Access even more expert content in new "Author’s Preferred Technique" sections. Find the information you need more quickly with this completely reorganized text.
The aim of the volume is to provide an authoritative and international treatise bringing together current knowledge in the field of respiratory infection. The book will be organised by presentation rather than causative organism, a differentiating feature from the existing competition, and will be divided into four parts - 'General Issues', 'Community-acquired Infections', 'Nosocomial Infections' and 'Respiratory Infection in Immunocompromised Patients'. Each chapter will conclude with a summary highlighting practical 'take-home' messages regarding patient management for the reader. It will be highly illustrated, including colour plates where appropriate. The principal market will be pulmonologists with a specialist interest in this area and infectious disease specialists, but that the text will also be of interest to clinical researchers and a useful library reference.
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.
An ideal resource for both pediatricians and endocrinologists, Sperling's Pediatric Endocrinology, 5th Edition, brings you fully up to date with accelerating research; new discoveries in metabolic, biochemical and molecular mechanisms; and the resulting advances in today's clinical care. The editorial team of world-renowned pediatric endocrinologists led by Dr. Mark Sperling, as well as expert contributing authors, cover comprehensive and current aspects of both basic science and clinical practice. Whether you're preparing for certification or have extensive clinical experience, this detailed, authoritative reference helps you increase your knowledge and determine the best possible course for every patient. - Delivers trusted guidance in every area of the field: including Endocrine Disorders of the Newborn, Endocrine Disorders of Childhood and Adolescence, and Laboratory Tests. - Features new topics such as transgender issues in children and adolescents and endocrinology of pregnancy, the fetus and the placenta. - Offers expert coverage of hot topics such as disorders of sexual development, molecular basis of endocrine disorders, hypoglycemia in newborns and infants; neonatal and other monogenic forms of diabetes; Type I and Type II diabetes and their treatment with new insulins together with the progress in an artificial pancreas and new medications for T2DM in adolescents; the obesity epidemic and role of bariatric surgery; and advances toward personalized medicine. - Includes easy-to-follow algorithms and numerous quick-reference tables and boxes in every clinical chapter, plus interactive questions online for self-assessment. - Offers state-of-the-art information and fresh perspectives from new and award-winning authors in such areas as disorders of growth, multiple endocrine tumors, and puberty and its disorders in girls and boys.
Providing fundamental knowledge necessary to understand graphene's atomic structure, band-structure, unique properties and an overview of groundbreaking current and emergent applications, this new handbook is essential reading for materials scientists, chemists and physicists.Since the 2010 physics Nobel Prize awarded to Geim and Novosolev for their groundbreaking work isolating graphene from bulk graphite, there has been a huge surge in interest in the area. This has led to a large number of news books on graphene. However, for such a vast inflow of new entrants, the current literature is surprisingly slight, focusing exclusively on current research or books on previous "hot topic" allotropes of carbon.This book covers fundamental groundwork of the structure, property, characterization methods and applications of graphene, along with providing the necessary knowledge of graphene's atomic structure, how it relates to its band-structure and how this in turn leads to the amazing properties of graphene. And so it provides new graduate students and post-docs with a resource that equips them with the knowledge to undertake their research. - Discusses graphene's fundamental structure and properties, acting as a time-saving handbook for validated research - Demonstrates 100+ high-quality graphical representations, providing the reader with clear images to convey complex situations - Reviews characterization techniques relevant to grapheme, equipping the reader with experimental knowledge relevant for practical use rather than just theoretical understanding
An enlightening discussion of the major issues related to the prevention and treatment of adolescent substance abuse. Information-packed chapters lend a new perspective to the field and suggest implications for practice in services for youth.
This book is dedicated to the fundamental clinical signs of astute observation, careful differential diagnosis and analytical therapeutic decision-making in emergency veterinary settings. It clearly defines the physiological and clinical principles fundamental to the management of the critically ill small animal patient. With clear guidelines for organizing an emergency/critical care unit, the book also discusses ethical and legal concerns. The 80 expert authors have created a clinically specific resource for the specialist, residents in training, veterinary practitioners, technicians and students.Published by Teton New Media in the USA and distributed by CRC Press outside of North America.
OKU: Sports Medicine 5 brings together the most relevant literature and the latest research, including extensive updates in knee and shoulder, from the past five years. Top notch experts collaborated on this succinct review of pertinent advances in sports medicine. Find brand-new content on bone loss instability, proximal biceps injuries, ACL reconstruction, meniscal posterior horn tears, and much more.
This newest addition to the Nutrition and Health series is a comprehensive, yet portable, guide to the use of dietary fiber for the management of health and disease. Dietary Fiber in Health and Disease covers all sources of dietary fiber with a focus on preventing and managing chronic diseases. Each chapter contains a careful analysis with many figures and tables of the most recent human dietary fiber studies and includes specific recommendations on the fiber types and intake levels required to prevent and manage chronic disease and improve health. Additionally, physicians, dietitians, nurses, nutritionists, pharmacists, food industry scientists, academic researchers and educators, naturopathic doctors, and other health professionals will be drawn to the practical, ready-to-use information and coverage of subjects such as fiber in gastrointestinal health and disease, fiber in cancer prevention, fiber in Type 2 Diabetes, and fiber in body weight and composition. Dietary Fiber in Health and Disease will be of interest to physicians and other healthcare professionals in many different specialties, including general practitioners, oncologists, endocrinologists, and other practitioners looking to implement dietary advice as part of the patient treatment plan.
An in-depth exploration of how biomechanics and ecology work together Plants and animals interact with each other and their surroundings, and these interactions—with all their complexity and contingency—control where species can survive and reproduce. In this comprehensive and groundbreaking introduction to the emerging field of ecological mechanics, Mark Denny explains how the principles of physics and engineering can be used to understand the intricacies of these remarkable relationships. Denny opens with a brief review of basic physics before introducing the fundamentals of diffusion, fluid mechanics, solid mechanics, and heat transfer, taking care to explain each in the context of living organisms. Why are corals of different shapes on different parts of a reef? How can geckos climb sheer walls? Why can birds and fish migrate farther than mammals? How do desert plants stay cool? The answers to these and a host of similar questions illustrate the principles of heat, mass, and momentum transport and set the stage for the book's central topic—the application of these principles in ecology. Denny shows how variations in the environment—in both space and time—affect the performance of plants and animals. He introduces spectral analysis, a mathematical tool for quantifying the patterns in which environments vary, and uses it to analyze such subjects as the spread of invasive species. Synthesizing the book’s materials, the final chapters use ecological mechanics to predict the occurrence and consequences of extreme ecological events, explain the emergence of patterns in the distribution and abundance of organisms, and empower readers to explore further. Ecological Mechanics offers new insights into the physical workings of organisms and their environment.
The book focuses on the prediction and optimization of pharmacological treatment of psychiatric patients. Topics covered include the importance of accurate psychiatric diagnosis, medical problems which can mimic psychiatric illness, and the interface between psychiatric illness and opiate addiction and alcoholism. Current literature on predicting responses to antidepressants, lithium, antipsychotics and antianxiety agents is summarized. This practical guide also offers details on the state-of-the-art uses of blood levels in psychiatric practice for each class of drugs as well as other useful information in tables, graphs and flow charts.
Mark Totten has spent fifteen years learning about youth gangs. He has interviewed over 500 gang members in cities across the country, tracing their lives from infancy to adulthood, and exploring the roots of their involvement in crime and their reliance on violence. This book offers a picture of the reality of youth gangs in Canada. Much of what Totten has to say is at odds with popular ideas. His research leads him to believe that breaking through the circumstances that produce young criminals is far more difficult than most people think. For individuals caught in gang life, exiting that world is next to impossible-in fact, the most common way out is an early death from violence or suicide.
Widely recognized as the gold standard text in hand, wrist, and elbow surgery, Green’s Operative Hand Surgery, 7th Edition, by Drs. Scott Wolfe, William Pederson, Robert Hotchkiss, Scott Kozin, and Mark Cohen, continues the tradition of excellence. High-resolution photos, innovative videos, new expert authors, and more ensure that Green’s remains your go-to reference for the most complete, authoritative guidance on the effective surgical and non-surgical management of upper extremity conditions. Well-written and clearly organized,it remains the most trusted reference in hand surgery worldwide Thoroughly revised indications and techniques to treat the full spectrum of upper extremity disorders New approaches to wrist and elbow arthroplasty, new methods for internal fixation, and new options for congenital differences Innovative, high-resolution videos that provide step-by-step guidance on key procedures, and high-resolution color photos throughout A revamped pediatric section that includes recent advances in fracture management and congenital reconstruction 14 new authors that offer fresh perspectives and preferred methods on even your toughest clinical challenges New case-based controversies and unique solutions, plus current views on what works and what does not, based on recent science and outcome measures State-of-the-art coverage of hot topics such as nerve transfers to enhance patient outcomes, elbow fracture management and reconstruction with repair and prosthetic replacement, new techniques in wrist fracture fixation, repair and reconstruction of the scapholunate ligament, management of flexor tendon injury, and much more Complete, updated coverage of the elbow – everything from trauma and arthritis to arthroscopy, reconstruction, and thrower's elbow Thoroughly revised indications and techniques to treat the full spectrum of upper extremity disorders New approaches to wrist and elbow arthroplasty, new methods for internal fixation, and new options for congenital differences Innovative, high-resolution videos that provide step-by-step guidance on key procedures, and high-resolution color photos throughout A revamped pediatric section that includes recent advances in fracture management and congenital reconstruction 14 new authors that offer fresh perspectives and preferred methods on even your toughest clinical challenges New case-based controversies and unique solutions, plus current views on what works and what does not, based on recent science and outcome measures State-of-the-art coverage of hot topics such as nerve transfers to enhance patient outcomes, elbow fracture management and reconstruction with repair and prosthetic replacement, new techniques in wrist fracture fixation, repair and reconstruction of the scapholunate ligament, management of flexor tendon injury, and much more Complete, updated coverage of the elbow – everything from trauma and arthritis to arthroscopy, reconstruction, and thrower's elbow
Polymer chemistry and technology form one of the major areas of molecular and materials science. This field impinges on nearly every aspect of modern life, from electronics technology, to medicine, to the wide range of fibers, films, elastomers, and structural materials on which everyone depends. Although most of these polymers are organic materials, attention is being focused increasingly toward polymers that contain inorganic elements as well as organic components. The goal of Inorganic Polymers is to provide a broad overview of inorganic polymers in a way that will be useful to both the uninitiated and those already working in this field. There are numerous reasons for being interested in inorganic polymers. One is the simple need to know how structure affects the properties of a polymer, particularly outside the well-plowed area of organic materials. Another is the bridge that inorganic polymers provide between polymer science and ceramics. More and more chemistry is being used in the preparation of ceramics of carefully controlled structure, and inorganic polymers are increasingly important precursor materials in such approaches. This new edition begins with a brief introductory chapter. That is followed with a discussion of the characteristics and characterization of polymers, with examples taken from the field. Other chapters in the book detail the synthesis, reaction chemistry, molecular structure, and uses of polyphosphazenes, polysiloxanes, and polysilanes. The coverage in the second edition has been updated and expanded significantly to cover advances and interesting trends since the first edition appeared. Three new chapters have been added, focusing on ferrocene-based polymers, other phosphorous-containing polymers, and boron-containing polymers; inorganic-organic hybrid composites; and preceramic inorganic polymers.
Treatment of Skin Disease: Comprehensive Therapeutic Strategies has been thoroughly revised to give you the latest treatment options for dermatologic conditions. Mark G. Lebwohl, Warren R. Heymann, John Berth-Jones, and Ian Coulson present an intuitive and easy-to-use, definitive treatment reference that covers the full range of choices for each condition so that you are prepared even when your patients do not respond to primary or secondary therapies. With new chapters on today’s hot topics-methocillin-resistant staphylococcus aureus, atypical nevi, autoimmune progesterone dermatitis, and more-and new contributions from international experts, you’ll have a global and current perspective on therapeutic options. Offer your patients the full range of choices and be prepared when your patients do not respond to primary or secondary therapies. Offers guidance for even the most difficult clinical problems by including third and fourth line therapies, as well as standard treatments, so you have options to try when all else fails. Features a summary of each treatment strategy along with detailed discussions of treatment choices so that you can apply the in-depth knowledge of the authors and editors. Presents each chapter in a tabular format, with checklists of diagnostic and investigative pearls and color-coded boxed text, for quick at-a-glance summaries of key details. Includes a full-color clinical photograph of each disease to help you diagnose more effectively. Includes access to the full text, Gold Standard drug database, and all the images online-fully searchable-at expertconsult.com. Covers new and more commonly presenting disorders in 12 new chapters on today’s hot topics, such as methocillin-resistant staphylococcus aureus, atypical nevi, autoimmune progesterone dermatitis, and more. Presents up-to-date evidence and the latest treatments to keep you on the cutting edge of practice. Describes global best practice on the treatment of key disorders through new contributions from international experts.
This updated and substantially revised edition not only incorporates the expansion of the pharmacological armamentarium available for treatment but also integrates the explosion of evidence-based data for psychosocial interventions. The authors, a psychiatrist-nurse team, have fine-tuned their two-phase treament program and present a clear and concise approach to improving illness self-management skills, as well as social and occupational functioning.
How do we create employment, grow businesses, and build greater economic resilience in our low-income communities? How do we create economic development for everyone, everywhere – including rural towns, inner-city neighborhoods, aging suburbs, and regions such as Appalachia, American Indian reservations, the Mexican border, and the Mississippi Delta – and not just in elite communities? Economic Development for Everyone collects, organizes, and reviews much of the current research available on creating economic development in low-income communities. Part I offers an overview of the harsh realities facing low-income communities in the US today; their many economic and social challenges; debates on whether to try reviving local economies vs. relocating residents; and current trends in economic development that emphasize high-tech industry and high levels of human capital. Part II organizes the sprawling literature of applied economic development research into a practical framework of five dynamic dimensions: empower your residents: begin with basic education; enhance your community: build on existing assets; encourage your entrepreneurs; diversify your economy; and sustain your development. This book, assembled and presented in a unified framework, will be invaluable for students and new researchers of economic development in low-income communities, and will offer new perspectives for established researchers, professional economic developers and planners, and public officials. Development practitioners and community leaders will also find new ideas and opportunities, along with a broad view on how the many complex parts of economic development interconnect.
This book addresses what software architects and developers need to know in order to build applications based on blockchain technology, by offering an architectural view of software systems that make beneficial use of blockchains. It provides guidance on assessing the suitability of blockchain, on the roles blockchain can play in an architecture, on designing blockchain applications, and on assessing different architecture designs and tradeoffs. It also serves as a reference on blockchain design patterns and design analysis, and refers to practical examples of blockchain-based applications. The book is divided into four parts: Part I provides a general introduction to the topic and to existing blockchain platforms including Bitcoin, Ethereum, and Hyperledger Fabric, and offers examples of blockchain-based applications. Part II focuses on the functional aspects of software architecture, describing the main roles blockchain can play in an architecture, as well as its potential suitability and design process. It includes a catalogue of 15 design patterns and details how to use model-driven engineering to build blockchain-based applications. Part III covers the non-functional aspects of blockchain applications, which are cross-cutting concerns including cost, performance, security, and availability. Part IV then presents three detailed real-world use cases, offering additional insights from a practical perspective. An epilogue summarizes the book and speculates on the role blockchain and its applications can play in the future. This book focusses on the bigger picture for blockchain, covering the concepts and technical considerations in the design of blockchain-based applications. The use of mathematical formulas is limited to where they are critical. This book is primarily intended for developers, software architects and chief information officers who need to understand the basic technology, tools and methodologies to build blockchain applications. It also provides students and researchers new to this field an introduction to this hot topic.
How do we create more economic opportunities in the low-income communities of the developing world? How can these communities build greater resilience against economic uncertainties, natural disasters, wars, and the growing threats of climate change? This book reviews the research literature of economic development in low-income communities of the developing world—from rural villages to neighborhoods in the largest cities on earth. This book is unique in gathering, organizing, and synthesizing research on economic development at the community level, across the developing world, drawing from multiple disciplines, publications, methodologies, regions, and countries. Part I provides an overview and context of the many challenges facing the developing world today, as well as the often-heated debates over what "development" is and how to make it happen. Part II reviews the extensive research literature in major fields of community economic development including education and human capital, overcoming the "curse of natural resources," entrepreneurship and micro-finance, tourism, and sustainability. The audience includes undergraduate students interested in development and sustainability, graduate students and other young researchers in a wide range of disciplines who are finding their own focuses, and established researchers who wish to expand their agendas. An expanded bibliography accompanies the book as a downloadable supplement.
Liberté? Egalité? Fraternité? Or just plain gall? In this provocative and brilliantly researched history of how the French have dealt with the United States, John J. Miller and Mark Molesky demonstrate that the cherished idea of French friendship has little basis in reality. Despite the myth of the “sister republics,” the French have always been our rivals, and have harmed and obstructed our interests more often than not. This history of French hostility goes back to 1704, when a group of French and Indians massacred American settlers in Deerfield, Massachusetts. The authors also debunk the myth of French aid during the Revolution: contrary to popular notions, the French did not enter the war until very late and were mainly interested in hurting their rivals, the British. After the war, the French continued to see themselves as major players in the Western hemisphere and shaped their policies to limit the growth and power of the new nation. The notorious XYZ affair, involving French efforts to undermine the government of George Washington, led to an undeclared naval war with France in 1798. During the Civil War, the French supported the Confederacy and installed a puppet emperor in Mexico. In the twentieth century, Americans clashed with the French repreatedly. The French victory over President Wilson at Versailles imposed a short-sighted and punitive settlement on Germany that paved the way for the rise of fascism in the 1930s. During World War II, Vichy French troops killed hundreds of American soldiers in North Africa, and diehard French fascist units fought against the Allies in the rubble of Berlin. During the Cold War, Charles DeGaulle yanked France out of NATO and obstructed our efforts to roll back Soviet expansion. The legacy of French imperial power has been no less disastrous. The French left Haiti in a shambles, got us into Vietnam, and educated many of the world’s worst tyrants at their elite universities, including Pol Pot, the genocidal Cambodian dictator. The fascist Baath regimes in Iraq and Syria are another legacy of failed French colonialism. Americans have been particularly irritated by French cultural arrogance—their crusades against American movies, McDonalds, Disney, and the exclusion of American words from their language have always rubbed us the wrong way. This irritation has now blossomed into outrage. Our Oldest Enemy shows why that outrage is justified.
This Atlas depicts in a clear manner the use of regional skin, muscle and musculocutaneous flaps as well as donor sites from distant regions of the body where vascularized skin, muscle, bone, and nerves can be harvested and transferred to the head and neck. Otolaryngologists, plastic surgeons and general surgeons use both regional and free flaps to reconstruct damage to the head and neck caused by cancer and trauma. This Atlas provides the surgeon with techniques for mastering different donor sites needed to find solutions to virtually every reconstruction problem. It provides detailed descriptions of the anatomy and harvesting techniques of the major regional and free-flap donor sites currently employed in head and neck reconstruction.
Master the latest medical and cosmetic procedures with Surgery of the Skin, the most comprehensive dermatological surgery resource available. Written from the surgeon's perspective, this medical reference book features step-by-step guidance on performing the most updated developments and cutting edge approaches across the entire spectrum of dermatologic surgery. - Improve surgical results and avoid pitfalls with expert, evidence-based guidance. - Stay on the cutting edge with in-depth step-by-step descriptions of tumescent vertical vector facelifts, blepharoplasty, composite grafts, Botox treatments, soft tissue augmentation, management of dysplastic nevi and melanoma, and more. - View immersive videos from an expanded library with more than 130 clips totaling over six hour's footage. - Explore brand-new chapters on rejuvenation of the female external genitalia; hidradenitis suppurativa; and photoaging-related mottled pigmentation. - Improve treatment outcomes for patients with skin of color and gain a truly global perspective of dermatologic surgery through an expanded contributor group of leading international experts. - Master how to perform cutting-edge techniques across the entire spectrum of dermatologic surgery, including botulinum toxins; fillers; cryosurgery; flaps; grafting; scar revisions; lasers; face-lift techniques; blepharoplasty techniques; Mohs surgery; and more. - Effectively manage a full range of complex disorders, such as vitiligo surgery, keloids, and leg ulcers, with a unique section devoted to these special procedures. - Easily visualize complex procedures and concepts with more than 1,000 illustrations, photos, and graphics. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
There has been a significant increase in the prevalence of certain chronic disorders among children and adolescents. For example, health experts warn of an epidemic of diabetes mellitus due to an increase in the sedentary life style and poor nutrition of children. There are many questions still to be addressed in the study of chronic disorders among children and adolescents.What are the risk factors associated with chronic diseases in these populations?What are the major complications that contribute to disability and increased health care utilization and costs? What impact do chronic diseases have on the psychosocial development? What are the most effective diagnostic, treatment,and rehabilitation strategies? How can patient education and self-management activities be improved to help children and adolescents improve compliance with treatment regimens? How can parents and other family members become more involved in assessment and management? In what ways can peers, schools,religious institutions, and other organizations help children and adolescent scope with their chronic disease? This book addresses these questions by focusing on how eight chronic disorders affect health care utilization, costs, coping, and health outcomes in children and adolescents.Research studies are used to illustrate wide range of topics from the epidemiology of chronic diseases in children and adolescents, health care utilization and costs, to treatment outcomes, disability, and family processes.Case studies from a clinical psychologist’s private practice are used to clarify major psychosocial issues underlying chronic diseases in these populations. Chapter One analyzes the epidemiology of eight chronic conditions in children and adolescents. Data on the prevalence of diseases and associated risk factors are stressed in this chapter. Health care planners can use these analyses to improve primary, secondary, and tertiary prevention through more effective uses of health care resources. Chapter Two examines the latest information on health care utilization and costs for children and adolescents that can point to a more efficient means of reducing the rising health care costs associated with the treatment of chronic diseases. In the remaining chapters, the eight chronic diseases are evaluated in terms of five major issues. First, the latest trends in complications associated with each chronic condition are explored.Second, the impact of each disease on disability and psychosocial development of children and adolescents are analyzed. Third, recent research findings on diagnosis,treatment, and rehabilitation strategies are discussed. Fourth, new trends in patient education and self-management are presented. Fifth, each chapter will assess the role of family, peers, schools, and other organizations in helping children and adolescents cope with their chronic disorders. Dr. Mark L. Goldstein, a clinical psychologist, reviews the literature and uses composite case studies from his practice to illustrate the impact of these trends on how children and adolescents manage chronic disease. The information in this book will be relevant to a wide range of professionals and students in the fields of pediatrics, medicine, nursing, public health, mental health, social work,education, health administration, health policy, and social sciences.
Within contemporary culture, ‘leadership’ is seen in ways that appeal to celebrated societal values and norms. As a result, it is becoming difficult to use the language of leadership without at the same time assuming its essentially positive, intrinsically affirmative nature. Within organizations, routinely referring to bosses as ‘leaders’ has, therefore, become both a symptom and a cause of a deep, largely unexamined new conceptual architecture. This architecture underpins how we think about authority and power at work. Capitalism, and its turbo-charged offspring neo-liberalism, have effectively captured ‘leader’ and ‘leadership’ to serve their own purposes. In other words, organizational leadership today is so often a particular kind of insidious conservativism dressed up in radical adjectives. This book makes visible the work that the language of leadership does in perpetuating fictions that are useful for bosses of work organizations. We do this so that we – and anyone who shares similar discomforts – can make a start in unravelling the fiction. We contend that even if our views are contrary to the vast and powerful leadership industry, our basic arguments rest on things that are plain and evident for all to see. Critical Perspectives on Leadership: The Language of Corporate Power will be key reading for students, academics and practitioners in the disciplines of Leadership, Organizational Studies, Critical Management Studies, Sociology and the related disciplines.
This introductory graduate text is based on a graduate course the author has taught repeatedly over the last ten years to students in applied mathematics, engineering sciences, and physics. Each chapter begins with an introductory development involving ordinary differential equations, and goes on to cover such traditional topics as boundary layers and multiple scales. However, it also contains material arising from current research interest, including homogenisation, slender body theory, symbolic computing, and discrete equations. Many of the excellent exercises are derived from problems of up-to-date research and are drawn from a wide range of application areas. One hundred new pages added including new material on transcedentally small terms, Kummer's function, weakly coupled oscillators and wave interactions.
Annotation This resource outlines the new tools that are becoming available in nanomedicine. The book presents an integrated set of perspectives that describe where advancements are now and where they should be headed to put nanomedicine devices into applications as quickly as possible
Recent dramatic advances in diagnosis, as well as medical and surgical treatment, mean that you can offer your glaucoma patients more timely and effective interventions. This clinical reference details the most critical developments in the field.
Neurointerventional radiology is evolving into a rarified and complex field, with more people today training to become neurointerventionalists than ever before. With these developments comes a need for a unified handbook of techniques and essential literature. In Handbook of Cerebrovascular Disease and Neurointerventional Technique, Mark Harrigan and John Deveikis present the first practical guide to endovascular methods and provide a viable reference work for neurovascular anatomy and cerebrovascular disease from a neurointerventionalist’s perspective. This new gold-standard reference covers the fundamental techniques and core philosophies of Neurointerventional radiology, while creating a manual that offers structure and standardization to the field. Authoritative and concise, Handbook of Cerebrovascular Disease and Neurointerventional Technique is the must-have work for today’s neurosurgeons, neuroradiologists, and interventional radiologists.
Highly readable, well-illustrated, and easy to understand, Gabbe's Obstetrics: Normal and Problem Pregnancies is an ideal day-to-day reference or study tool for residents and clinicians. This 8th Edition of this bestselling text offers fast access to evidence-based, comprehensive information, now fully revised with substantial content updates, new and improved illustrations, and a new, international editorial team that continues the tradition of excellence established by Dr. Steven Gabbe. - Puts the latest knowledge in this complex specialty at your fingertips, allowing you to quickly access the information you need to treat patients, participate knowledgably on rounds, and perform well on exams. - Contains at-a-glance features such as key points boxes, bolded text, chapter summaries and conclusions, key abbreviations boxes, and quick-reference tables, management and treatment algorithms, and bulleted lists throughout. - Features detailed illustrations from cover to cover—many new and improved—including more than 100 ultrasound images that provide an important resource for normal and abnormal fetal anatomy. - Covers key topics such as prevention of maternal mortality, diabetes in pregnancy, obesity in pregnancy, vaginal birth after cesarean section, and antepartum fetal evaluation. - Provides access to 11 videos that enhance learning in areas such as cesarean delivery and operative vaginal delivery. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices
By demonstrating the importance of communication among social scientists, scientists in the natural sciences and stakeholders living in the Arctic, this book provides a comprehensive overview of the region's rapidly changing physical and human dimensions. In response to the tremendous challenges and opportunities facing the Arctic it is an essential resource for all Arctic researchers and those developing multidisciplinary projects. Representing a state-of-the-art overview of key areas of Arctic research by renowned specialists in the field, each chapter forms a detailed, varied and accessible account of current knowledge. Each author introduces the subject to a non-specialist readership, while retaining intellectual integrity and relevance for specialists. Overall, the richness of the material presented in this volume reflects the ecological and cultural diversity of this vast and environmentally critical part of the globe.
Ideal for orthopaedic residents, fellows, and practicing surgeons alike, Operative Techniques: Knee Surgery offers all the step-by-step guidance you need to perform the latest techniques in knee surgery. As part of the highly visual Operative Techniques series, it boasts brief bulleted descriptions and a clean layout for ease of use, while clinical pearls help you optimize outcomes and obtain the best results. - Highly visual atlas-style text features brief bulleted descriptions and a clean layout for ease of use. - Clinical pearls help you optimize outcomes and obtain the best results. - Outlines positioning, exposures, instrumentation, and implants to give you a step-by-step guide for every procedure. - Provides information on post-operative care and expected outcomes, including potential complications. - Brief notes and supporting evidence on controversies offers important details about patient-focused surgery. - Fully updated procedural videos and figures provide enhanced visual guidance. - Features combined coverage of sports knee surgery, arthroscopy, and total knee replacement. - Discusses trochyioplasty, a controversial new innovation, as well as NPSL technique. - Boasts updated coverage of key procedures and techniques in sports knee surgery. - Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, videos, and references from the book on a variety of devices.
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