For most of its history, decision theory has investigated the rational choices of humans under the assumption of static preferences. Human preferences, however, change. In recent years, decision theory has increasingly acknowledged the reality of preference change throughout life. This Element provides an accessible introduction and new contributions to the debates on preference change. It is divided into three chapters. In the first chapter, the authors discuss what preference change is and whether we can integrate it into decision theory. In the second chapter, they present models of preference change, including a novel proposal of their own. In the third and final chapter, they discuss how we can rationally choose a course of action when our preferences might change. Both the transformative experience literature and recent work on choosing for changing selves are discussed.
Intravascular thrombus formation remains one of the most significant problems in cardiovascular medicine. It underlies the clinical presentation of acute coronary syndromes, including unstable angina and non-ST-segment elevation myocardial infarction (NSTEMI) and ST-segment elevation myocardial infarction. More and more individuals are stricken with an acute MI and undergo a percutaneous coronary intervention (PCI). Several reasons apply, including an increasingly aged population, the growing burden of chronic risk factors such as diabetes, obesity, sedentary behaviour, and improvements in early recognition and intervention. Thrombus formation also results in substantial morbidity and mortality. Despite significant advances in prevention and treatment of venous thromboembolism, pulmonary embolism remains a common preventable cause of hospital deaths. Implementing the most appropriate, and safe, anticoagulation therapy across the spectrum of cardiovascular disease in the presence of a wide range of other risk factors remains a challenge. Written by leading authorities in the field, Management Strategies in Antithrombotic Therapy offers a comprehensive review of antithrombotic therapy, including the latest therapies, risk factors and evidence-based strategy. The book acquaints readers with the data behind the commonly used antithrombotic agents and assists them in formulating a sound, evidence-based therapeutic strategy appropriate for each patient. This book is an invaluable resource for all postgraduate students and specialist physicians in cardiovascular medicine, cardiac and vascular surgery, and critical care.
For most of its history, decision theory has investigated the rational choices of humans under the assumption of static preferences. Human preferences, however, change. In recent years, decision theory has increasingly acknowledged the reality of preference change throughout life. This Element provides an accessible introduction and new contributions to the debates on preference change. It is divided into three chapters. In the first chapter, the authors discuss what preference change is and whether we can integrate it into decision theory. In the second chapter, they present models of preference change, including a novel proposal of their own. In the third and final chapter, they discuss how we can rationally choose a course of action when our preferences might change. Both the transformative experience literature and recent work on choosing for changing selves are discussed.
Hypertension affects hundreds of millions of individuals worldwide, including 60% of those over the age of 60. Proper treatment reduces by 30% the incidence and fatality from coronary heart disease, heart failure, stroke, and kidney disease. Hypertension Essentials 2010 is a current, concise, and practical step-by-step guide to the diagnosis, evaluation, and treatment of hypertension. More than 50 clinical trials, common management pitfalls, and cardiovascular risk reduction measures are also described.
MicroRNAs (miRNAs) are a member of the family of non-coding RNA molecules, and consist of small conserved sequences between 19–25 nucleotides in length that are responsible for regulating many cellular functions by affecting a wide range of messenger RNAs in a sequence specific manner. Fundamental biological processes like cell proliferation and growth, stress resistance, tumorigenesis, fat metabolism, and neural development have all been shown to be governed by miRNAs. miRNAs carry out the post-transcriptional silencing of gene expression via targeting the 30-untranslated region (UTR) of the complementary mRNA sequence. The dysregulation of the expression levels of various miRNAs is typical of tumor cells, and has been associated with tumor progression and poor prognosis. Many miRNAs are up-regulated in cancer, where they can silence tumor suppressor genes such as apoptosis and immune response associated genes. Therefore, it is possible to profile the expression levels of miRNAs as biomarkers, in order to diagnose cancer and noncancerous diseases. Moreover, cancer detection in the early stages is crucial in clinical situations. Characterization of miRNAs in serum, plasma, and other bodily fluids, and understanding their stability against RNase degradation, is important to assess their suitability as biomarkers and diagnostic tools. Exosomes play an important role in inter-cellular communications, and these nanosized particles have various functions in diverse physiological pathways, in normal as well as abnormal cells. Exosomes can carry diverse cargos such as mRNAs, miRNAs, and proteins that transfer information between donor and recipient cells. Furthermore, uptake of exosomes and their cargos may promote or suppress various molecular and cellular pathways, which alter the cellular behavior. Many reports have discussed the role of exosomes released from cancer cells on the progression of cancer at various stages. Exosomes and their cargos may affect the growth of the tumor, metastasis, drug resistance, immune system function, as well as angiogenesis. Therefore, exosomes have been explored as diagnostic biomarkers in many cancers. Moreover, exosomes can be used as biological vehicles to deliver different drugs and agents like doxorubicin (DOX), miRNAs, and siRNAs. The present book covers the role of exosomes and micro-RNAs in the pathogenesis and treatment of various diseases.
Dentists require a comprehensive understanding of drugs used in clinical practice in order to safely prescribe and manage medication use in their patients. Handbook of Dental Therapeutics provides practical coverage of drugs in dentistry, with commentary tailored for students to use throughout their degree and into their professional practice.
From the reviews: "Bishop and Schroder (both, Univ. of Nebraska at Omaha) have brought together an impressive group of practitioners in the relatively new application of geographic information science to mountain geomorphology. In doing so, they have produced valuable, first, overall coverage of a high-tech approach to mountain, three-dimensional research. More than 40 contributing authors discuss a wide range of related aspects.... The book is well bound and well produced; each chapter provides an extensive source of references. The numerous line drawings are clearly reproduced, although the mediocre quality of photographic reproduction limits the value of air photographs and satellite images. As is characteristic of many edited collections, there is some variation in chapter quality. Some of the writing is so dense that it requires minute concentration--one chapter, for instance, has 14 pages of references from a total of 43 pages. Nevertheless, this is a vital compendium for a rapidly expanding field of research. Summing Up: Recommended. Upper-division undergraduates through professionals." (J. D. Ives, Choice, March 2005)
Power and Schulkin reveal the amazing evolution of the human placenta—and in so doing show how each of our lives began. As the active interface of the most biologically intimate connection between two living organisms, a mother and her fetus, the placenta is crucial to human evolution and survival. Michael L. Power and Jay Schulkin explore the more than 100 million years of evolution that led to the human placenta and, in so doing, they help unravel the mysteries of human life's first moments. Starting with some of the earliest events that have influenced the path of placental evolution in mammals and progressing to the specifics of the human placenta, this book examines modern gestation within an evolutionary framework. Human beings are a successful species and our numbers have increased dramatically since our earliest days on Earth. However, human fetal development is fraught with poor outcomes for both the mother and fetus that appear to be, if not unique, far more common in humans than in other mammals. High rates of early pregnancy loss, nausea and vomiting during pregnancy, preeclampsia and related maternal hypertension, and preterm birth are rare or absent in other mammals yet not unusual in humans. Power and Schulkin explain why this apparent contradiction exists and address such topics as how the placenta regulates and coordinates the metabolism, growth, and development of both mother and fetus, the placenta’s role in protecting a fetus from the mother’s immune system, and placental diseases. In the process, they reveal the vital importance of this organ—which is composed mostly of fetal cells—for us as individuals and as a species.
This title aims to provide introductory and concluding surveys of the subject of farms, trees and farmers. Two central parts explore trends in farmer tree-growing and the factors which influence decision-making. Eight case studies cover, among other topics, the need for tree products, market access, the allocation of land and labour, and exposure to risk. In showing why farmers decide to grow or not grow trees, it seeks to increase the reader's knowledge about farming systems and to provide a guide to encouraging farm forestry throughout the world.
The Promises of Glass, Michael Palmer's first new collection since At Passages (New Directions, 1995), contains seven sections: "The White Notebook", "The Promises of Glass", "Q", "Four Kitaj Studies", "Five Easy Poems" "In an X", and "Tower". These gorgeous new poems explore language and the "salt sea of autobiographies". His work also examines what Marjorie Perloff has described as "the absurdist 'displacement by degrees' one experiences in the post-urban world of late twentieth-century America.
This book considers governance and policy-making within the maritime sector, and focuses significantly on the dimensional context within which governance works. Recognising the importance of understanding governance and policy at times when the world is faced with social, political, and economic problems, it highlights the fact that both areas are equally significant in understanding today’s political economy. By focusing on the maritime sector, a pillar industry supporting international trade activities, the book offers a unique perspective to explain the difficulties of balancing policy-making with governance in order to provide solutions. It also examines the importance of developing a governance process that encourages and accommodates juxtaposition in a way that ensures that the effect of independent policy-making is understood upon the success or otherwise of policies across a range of contexts and problems. Given the in-depth nature of the text, it is of interest to academics, researchers and professionals in the field.
A comprehensive history of data visualizationÑits origins, rise, and effects on the ways we think about and solve problems. With complex information everywhere, graphics have become indispensable to our daily lives. Navigation apps show real-time, interactive traffic data. A color-coded map of exit polls details election balloting down to the county level. Charts communicate stock market trends, government spending, and the dangers of epidemics. A History of Data Visualization and Graphic Communication tells the story of how graphics left the exclusive confines of scientific research and became ubiquitous. As data visualization spread, it changed the way we think. Michael Friendly and Howard Wainer take us back to the beginnings of graphic communication in the mid-seventeenth century, when the Dutch cartographer Michael Florent van Langren created the first chart of statistical data, which showed estimates of the distance from Rome to Toledo. By 1786 William Playfair had invented the line graph and bar chart to explain trade imports and exports. In the nineteenth century, the Ògolden ageÓ of data display, graphics found new uses in tracking disease outbreaks and understanding social issues. Friendly and Wainer make the case that the explosion in graphical communication both reinforced and was advanced by a cognitive revolution: visual thinking. Across disciplines, people realized that information could be conveyed more effectively by visual displays than by words or tables of numbers. Through stories and illustrations, A History of Data Visualization and Graphic Communication details the 400-year evolution of an intellectual framework that has become essential to both science and society at large.
STATISTICS FOR DENTAL CLINICIANS Enables clinicians to understand how biostatistics relate and apply to dental clinical practice?? Statistics for Dental Clinicians??helps dental practitioners to understand and interpret the scientific literature and apply the concepts to their clinical practice. Written using clear, accessible language, the book breaks down complex statistical and study design principles and demonstrates how statistics can inform clinical practice. Chapters cover the basic building blocks of statistics, including clinical study designs, descriptive and inferential statistical concepts, and interpretation of study results, including differentiating between clinical and statistical significance. An extensive glossary of statistical terms, as well as graphs, figures, tables, and illustrations are included throughout to improve reader comprehension. Select readings accompany each chapter.?? Statistics for Dental Clinicians??includes information on:?? How to understand and interpret the scientific language used in the biomedical literature and statistical concepts that underlie evidence-based dentistry What is statistics and why do we need it, and how to effectively apply study results to clinical practice Understanding and interpreting standard deviations, standard errors, p-values, confidence intervals, sample sizes, correlations, survival analyses, probabilistic-based diagnosis, regression modeling, and patient-reported outcome measures Understanding and interpreting absolute risks, relative risks and odds ratios, as well as randomized controlled trials, cohort studies, case-control studies, cross-sectional studies, meta-analysis, bias and confounding With comprehensive coverage of a broad topic, written using accessible language and shining light on statistical complexity often found in writings related to clinical topics, Statistics for Dental Clinicians??is an essential guide for any dental practitioner wishing to improve their understanding of the biomedical literature.
Enzymes as Targets for Drug Design is a collection of scientific discussions related to enzyme inhibitors that show the many facets of the drug discovery process from the basic sciences through clinical applications. Topics include the biogenesis of phosphatidylinositol glycosyl membrane proteins, structure and catalytic function of ADP-ribose polymerase (ADPRT), and modulation of the dopaminergic system in cardiovascular therapeutics. The therapeutic utility of selected enzyme-activated irreversible inhibitors, the role of proteinases in the fibrosis of systemic sclerosis, and therapeutic opportunities in eicosanoid biosynthesis are also discussed. This book consists of 18 chapters and begins with examples of enzymes whose activities have recently been elucidated, or for which newer insights have been gleaned, but which do not yet have selective or potent inhibitors. The second part provides examples of enzymes where inhibitors have been identified but it is still not clear whether or not such an enzymatic blockade will be therapeutically beneficial. The final section describes clinical studies of newer, and not so new, enzyme inhibitors that are clearly of therapeutic importance. The therapeutic activity of monoamine oxidase inhibitors and the associated clinical issues are considered. This book is intended for clinicians as well as basic scientists in biochemistry, chemistry, pharmacology, and cell biology.
Dolpo is a culturally Tibetan enclave in one of Nepal's most remote regions. The Dolpo-pa, or people of Dolpo, share language, religious and cultural practices, history, and a way of life. Agro-pastoralists who live in some of the highest villages in the world, the Dolpo-pa wrest survival from this inhospitable landscape through a creative combination of farming, animal husbandry, and trade. High Frontiers is an ethnography and ecological history of Dolpo tracing the dramatic transformations in the region's socioeconomic patterns. Once these traders passed freely between Tibet and Nepal with their caravans of yak to exchange salt and grains; they relied on winter pastures in Tibet to maintain their herds. After 1959, China assumed full control over Tibet and the border was closed, restricting livestock migrations and sharply curtailing trade. At the same time, increasing supplies of Indian salt reduced the value of Tibetan salt, undermining Dolpo's economic niche. Dolpo's agro-pastoralists were forced to reinvent their lives by changing their migration patterns, adopting new economic partnerships, and adapting to external agents of change. The region has been transformed as a result of the creation of Nepal's largest national park, the making of Himalaya, a major motion picture filmed on location, the increasing presence of nongovernmental organizations, and a booming trade in medicinal products. High Frontiers examines these transformations at the local level and speculates on the future of pastoralism in this region and across the Himalayas.
Climate change is the single most important global environmental and development issue facing the world today and has emerged as a major topic in tourism studies. Climate change is already affecting the tourism industry and is anticipated to have profound implications for tourism in the twenty-first century, including consumer holiday choices, the geographic patterns of tourism demand, the competitiveness and sustainability of destinations and the contribution of tourism to international development. Tourism and Climate Change: Impacts, Adaptation and Mitigation is the first book to provide a comprehensive overview of the theory and practice of climate change and tourism at the tourist, enterprise, destination and global scales. Major themes include the implications of climate change and climate policy for tourism sectors and destinations around the world, tourist perceptions of climate change impacts, tourism’s global contribution to climate change, adaptation and mitigation responses by all major tourism stakeholders, and the integral links between climate change and sustainable tourism. It combines a thorough scientific assessment of the climate-tourism interrelationships with discussion of emerging mitigation and adaptation practice, showcasing international examples throughout the tourism sector as well as actions by other sectors that will have important implications for tourism. Written by three leading academics in this field, this critical contribution highlights the challenges of climate change within the tourism community and provides a foundation for decision making for both reducing the risks, and taking advantage of the opportunities, associated with climate change. This comprehensive discussion of the complexities of climate change and tourism is essential reading for students, academics, business leaders and government policy makers.
This fully updated second edition is a selective annotated bibliography of all relevant published resources relating to church and worship music in the United States. Over the past decade, there has been a growth of literature covering everything from traditional subject matter such as the organ works of J.S. Bach to newer areas of inquiry including folk hymnology, women and African-American composers, music as a spiritual healer, to the music of Mormon, Shaker, Moravian, and other smaller sects. With multiple indices, this book will serve as an excellent tool for librarians, researchers, and scholars sorting through the massive amount of material in the field.
This book is a comprehensive overview of multiple nationality in international law, and contains a survey of current State practice covering over 75 countries. It examines the topic in light of the historical treatment of multiple nationality by States, international bodies and commentators, setting out the general trends in international law and relations that have influenced nationality. While the book's purpose is not to debate the merits of multiple nationality, but to present actual state practice, it does survey arguments for and against multiple nationality, and considers States' motivations in adopting a particular attitude toward the topic. As a reference work, the volume includes a detailed examination of the nature of nationality under international law and the concepts of nationality and citizenship under municipal law. The survey of State practice also constitutes a valuable resource for practitioners.
The Nature and Use of Ecotoxicological Evidence: Natural Science, Statistics, Psychology, and Sociology examines how toxicologists and environmental professionals come to understand and make decisions about possible harm from pollutants. Drawing on concepts and techniques from the natural, social and mathematical sciences, the book emphasizes how pollutant-related evidence is gathered, assessed, communicated and applied in decision-making. Each chapter begins with a real-world example before exploring fundamental cognitive, social, statistical or natural science concepts to explain the opening example. Methods from other disciplines for recognizing, reducing or removing the influence of impediments in wise decision-making are highlighted in each chapter. Misreading evidence by the scientific community, and miscommunication to regulators and the public, remain major impediments to wise action in pollution issues. Which evidence comes to dominate the dialogue among scientists, regulators and decision makers depends on social and scientific dynamics. Yet psychological and sociological factors that influence the movement of evidence through scientific communities to regulators receive cursory discussion by professionals unfamiliar with the sociology literature. Toxicologists, environmental scientists, psychologists and professionals and students across the sciences will find the book useful for understanding how evidence is generated, assessed and communicated in their own fields. Includes groundbreaking research synthesizing information from across the sciences to understand the decision-making process Provides real life examples and uses theoretical concepts to analyze them in clear, direct language Encourages critical thinking about complex problems
Looking for a brief but authoritative resource to help you manage the types of complex cardiac, pulmonary, and neurological emergencies you encounter as a resident or attending emergency room physician? Look no further than Decision Making in Emergency Critical Care: An Evidence-Based Handbook. This portable guide to rational clinical decision-making in the challenging – and changing – world of emergency critical care provides in every chapter a streamlined review of a common problem in critical care medicine, along with evidence-based guidelines and summary tables of landmark literature. Features Prepare for effective critical care practice in the emergency room’s often chaotic and resource-limited environment with expert guidance from fellows and attending physicians in the fields of emergency medicine, pulmonary and critical care medicine, cardiology, gastroenterology, and neurocritical care. Master critical care fundamentals as experts guide you through the initial resuscitation and the continued management of critical care patients during their first 24 hours of intensive care. Confidently make sustained, data-driven decisions for the critically ill patient using expert information on everything from hemodynamic monitoring and critical care ultrasonography to sepsis and septic shock to the ED-ICU transfer of care.
To date, REDD+ projects in Laos have made relatively conservative choices on driver engagement, focusing on smallholder-related drivers like shifting cultivation and small-scale agricultural expansion, to the exclusion of drivers like agro-industrial concessions, mining concessions and energy and transportation infrastructure. While these choices have been based on calculated decisions made in the context of project areas, they have created a pair of challenges that REDD+ practitioners must currently confront. The first is lost opportunity. By not engaging industrial drivers of forest loss, REDD+ misses an important chance to engage with high level economic decision making. This has implications not only for climate change mitigation, but more importantly for efforts to make Laos’s current trajectory of natural resource-intensive development more socially, environmentally and economically sustainable. The second challenge is more immediate. Due to the political-economic circumstances under which forest loss occurs, there is a significant gap between loss that is planned and loss that can be accounted for under REDD’s “national circumstance” allowances for planned deforestation. This means that REDD’s positive impacts on mitigating forest loss, to the extent that they occur, may be swamped by planned but unaccountable forest loss, and thus difficult or impossible to verify. Thinking bigger on issues from driver engagement to spatial planning and concession regulation to land tenure and rural livelihood possibilities thus presents not only a series of opportunities, but a series of imperatives.
50th Anniversary Edition of the groundbreaking case-based pharmacotherapy text, now a convenient two-volume set. Celebrating 50 years of excellence, Applied Therapeutics, 12th Edition, features contributions from more than 200 experienced clinicians. This acclaimed case-based approach promotes mastery and application of the fundamentals of drug therapeutics, guiding users from General Principles to specific disease coverage with accompanying problem-solving techniques that help users devise effective evidence-based drug treatment plans. Now in full color, the 12th Edition has been thoroughly updated throughout to reflect the ever-changing spectrum of drug knowledge and therapeutic approaches. New chapters ensure contemporary relevance and up-to-date IPE case studies train users to think like clinicians and confidently prepare for practice.
This is an annotated bibliography to books, recordings, videos, and websites on choral music. This book will serve as an excellent tool for librarians, researchers, and scholars in sorting through the massive amount of new material that has appeared since publication of the previous edition.
Are you seeking more balance in your life? Is there an aspect of your relationships you'd like to change and don't know where to start? Do you find it difficult to balance priorities between family and friends while supporting your career? Join author and wellness coach Michael Thomas Sunnarborg as he guides you through his powerful, yet poignant, three-book series designed to help you find better balance in your career, relationships, and life. This book contains the entire text of 21 Days to Better Balance, 21 Steps to Better Relationships, and 21 Keys to Work/Life Balance in their entirety.
Throughout the past decades, the understanding of the pathophysiology of chronic heart failure and the therapeutic approach to this condition have un dergone considerable change. New developments are reported every year. Perhaps it is because of this continuing interest of researchers and physi th cians that the chapter on chronic heart failure of the 4 edition of Klinische Kardiologie has been so positively received. Several colleagues asked the authors to publish the chapter on chronic heart failure separately, because it would be more practical to use in daily work. When the request for an En glish version of this chapter reached the authors and Springer-Verlag, we were happy, on the one hand, because of the interest, but did wonder whether it would be wise to translate a typically German textbook into Eng lish. We invite you to send us your critical comments. Although Guidelines for the Treatment of Heart Failure have been pub lished recently by the WHO, by the European Society of Cardiology, and by the American Heart Association Task Force clinicians, practitioners, and stu dents still seem to need , a comprehensive view with emphasis on pathophys iology, epidemiology and therapy. The authors are grateful to Springer-Verlag for the good co-operation and tremendous personal commitment in making the English edition of Chronic Heart Failure possible. We hope to give our readers a good overview on this important clinical syndrome, one which re quires intelligent clinical research and sound clinical practice as weIl.
Crime and violence inflict high and rising costs on the private sector, equivalent to several points of GDP loss. In light manufacturing, international purchasers quickly shift know-how and capital to less violent destinations and behind the statistics are human costs: lost jobs, working capital spent on security, contraband, fraud and corruption.
Bodily Charm is a passionate defense of opera as a living as well as live art. Written for both the opera lover and the specialist by a physician and a literary critic, it is an accessible and engaging interdisciplinary exploration of the operatic body—both the actual physical bodies of the singers and audience members and the represented body on stage in operas such as Death in Venice, Salome, Rigoletto, Der Ring des Nibelungen, and Elektra.
Using a contemporary lens, this book focuses on how J.S. Bach used his compositional creativity to interpret the message of the Johannine passion narrative from a Lutheran perspective and provides a new translation of the libretto. It provides a brief historical context, important points of theological scholarship, and performance history"--
This broad, comparative study examines the social, economic, and legal contexts of crime and authority in two vastly different states over a one hundred year period. Massachusetts--an urban, industrial, and heterogeneous northern state--chose the penitentiary in its attempt to minimize the role of informal and extralegal authority while South Carolina--a rural southern slave state--systematically reduced its formal legal institutions, frequently relying on vigilantism. A UNC Press Enduring Edition -- UNC Press Enduring Editions use the latest in digital technology to make available again books from our distinguished backlist that were previously out of print. These editions are published unaltered from the original, and are presented in affordable paperback formats, bringing readers both historical and cultural value.
Environmental Winds challenges the notion that globalized social formations emerged solely in the Global North prior to impacting the Global South. Instead, such formations have been constituted, transformed, and propelled through diverse, site-specific social interactions that complicate and defy divisions between 'global' and 'local.' The book brings the reader into the lives of Chinese scientists, officials, villagers, and expatriate conservationists who were caught up in environmental trends over the past 25 years. Hathaway reveals how global environmentalism has been enacted and altered in China, often with unanticipated effects, such as the rise of indigenous rights, or the reconfiguration of human/animal relationships, fostering what rural villagers refer to as "the revenge of wild elephants.
For over fifty years, McDonald's Blood Flow in Arteries has remained the definitive reference work in the field of arterial hemodynamics, including arterial structure and function with special emphasis on pulsatile flow and pressure. Prestigious, authoritative and comprehensive, the sixth edition has been totally updated and revised with several ne
This report explores the drivers (both direct and indirect) of deforestation and forest degradation and discusses the political, economic and social opportunities and constraints that will influence the design and implementation of REDD+ in Laos. The government of Laos has long sought to curb deforestation and forest degradation, and the country is receiving considerable international attention and support to implement REDD+. However, agricultural expansion, the development of industrial tree plantations, and large hydropower, mining and infrastructure projects continue to result in deforestation, with shifting cultivation and selective logging (legal and illegal) largely blamed for forest degradation. At the same time, indirect drivers of deforestation and forest degradation are rooted in a national agenda of economic growth, characterized by incentives for foreign and domestic investment in forest management and timber harvesting. As a result, Laos is becoming an important resource frontier for transnational capital and large-scale land and natural resource investments. The consequent intensification of competition for resources poses a challenge not only for forest governance, but also for the development of REDD+ policies and initiatives. In an examination of the institutions and policies defining Laos forestry sector and REDD+, the report reflects on lessons to be learned from past forestry and economic development policies. The government of Laos has demonstrated strong political interest in REDD+, but REDD+ implementation faces major obstacles, particularly unclear carbon rights and weak governance, with the latter attributable to poor local capacity, weak coordination among stakeholders, and minimal involvement by local communities and civil society. The report makes several recommendations for achieving effective, efficient and equitable outcomes of REDD+ in Laos: capacity building of administrative and technical staff, especially at the subnational level; clarification and harmonization of land-use planning and land allocation processes; and stronger monitoring and law enforcement in areas under high threat of deforestation and forest degradation. Furthermore, an accountable and transparent mechanism for sharing the benefits of REDD+ across levels and fully accountable consultation processes must be implemented, with the participation of not only elite and powerful actors such as domestic and foreign businesses but also local groups and civil society.
This book is about a new theory of suicide as cultural mimesis, or as an idea that is internalized from culture. Written as part of a new, critical focus in suicidology, this volume moves away from the dominant, strictly scientific understanding of suicide as the result of a mental disorder, and towards positioning suicide as an anthropologically salient, community-driven phenomenon. Written by a leading researcher in the field, this volume presents a conception of suicide as culturally scripted, and it demonstrates how suicide becomes a cultural idiom of distress that for some can become a normative option.
Physical illness cannot be effectively treated other than in the context of the psychological factors with which it is associated. The body may have the disease, but it is the patient who is ill. Research psychologists from a number of different backgrounds have, in the past few decades, turned increasingly to the study of physical illness, and there is now an extensive literature on preventive behaviors, the role of stress in the etiology of illness, the patient's reactions to illness and its treatment, and the physician-patient relationship. At the same time practicing clinical psychologists have extended their concern beyond the treatment of speci fically psychiatric disorders, to include also the psychological care of people experiencing distress through illness or injury. Traditionally, these patients have tended to fall through the net, unless their distress is so great that it assumes the proportion of a psychiatric disorder that can then be treated in its own right. Because the physical disorder is the primary one, its existence has detracted from the salience of the very real emotional disturbance to which it can give rise. Moreover, emotional reactions in this setting, being the norm, seems to have been regarded as not meriting special attention and care. This situation is chang ing, and it is not just psychologists or psychiatrists who are responsible for the shift in attitudes. Within general medicine itself, there is now a renewed empha sis on the care of the whole patient and not just the disease.
The premier single-volume reference in the field of anesthesia, Clinical Anesthesia is now in its Sixth Edition, with thoroughly updated coverage, a new full-color design, and a revamped art program featuring 880 full-color illustrations. More than 80 leading experts cover every aspect of contemporary perioperative medicine in one comprehensive, clinically focused, clear, concise, and accessible volume. Two new editors, Michael Cahalan, MD and M. Christine Stock, MD, join Drs. Barash, Cullen, and Stoelting for this edition. A companion Website will offer the fully searchable text, plus access to enhanced podcasts that can be viewed on your desktop or downloaded to most Apple and BlackBerry devices. This is the tablet version which does not include access to the supplemental content mentioned in the text.
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