Written by and for Nurse Practitioners from a unique collaborative perspective, Primary Care: A Collaborative Practice, 4th Edition, prepares you to provide care for all of the major disorders of adults seen in the outpatient setting. Evidence-based content reflects the latest guidelines for primary care of hundreds of conditions, including hypertension, diabetes, and sexually transmitted infections. Now in full color, the 4th Edition includes chapters on emerging topics such as genetics, obesity, lifestyle management, and emergency preparedness. Combining a special blend of academic and clinical expertise, the author team provides a practical text/reference that promotes a truly collaborative primary care practice. Comprehensive, evidence-based content incorporates the latest standardized guidelines for primary care in today's fast-paced, collaborative environment. Unique! A collaborative perspective, reflecting the key roles of NPs, MDs, PAs, PharmDs, and others, promotes seamless continuity of care. A consistent format from chapter to chapters facilitates learning and clinical reference value. Diagnostics and Differential Diagnosis boxes provide a quick reference for diagnosing disorders and helping to develop effective management plans. Physician Consultation icons highlight situations or conditions in which consultation is either recommended or necessary. Emergency Referral icons identify signs and symptoms that indicate the need for immediate referral to an emergency facility. Co-management with Specialists discussions help you provide truly collaborative care in the outpatient setting. Complementary and alternative therapies are addressed where supported by solid research evidence.
Ancient Southeast Mesoamerica explores the distinctive development and political history of the region from its earliest inhabitants up to the Spanish conquest. It demonstrates how inhabitants from different locales were organized within a matrix of social networks, and how they mobilized the assets that they needed to achieve their own goals.
The passage of the Telecommunications Act of 1996 inaugurated a new and highly volatile era in telecommunications. The first major overhaul of U.S. communications law since 1934--when no one had a television set, a cordless phone, or a computer--the Act was spurred into being by broad shifts in technology use. Equally important, this book shows, the new law reflects important changes in our notions of the purpose of communications regulation and how it should be deployed. Focusing on the evolution of the concept of the public interest, Aufderheide examines how and why the legislation was developed, provides a thematic analysis of the Act itself, and charts its intended and unintended effects in business and policy. An abridged version of the Act is included, as are the Supreme Court decision that struck down one of its clauses, the Communications Decency Act, and a variety of pertinent speeches and policy arguments. Readers are also guided to a range of organizations and websites that offer legal updates and policy information. Finalist, McGannon Center Award for Social and Ethical Relevance in Communication Policy Research
Therapeutic Exercise for Children With Developmental Disabilities has been expanded and updated to include everything a student or professional needs to know when working with children with developmental disabilities. Continuing the emphasis on evidence-based practice from the previous editions, this comprehensive Fourth Edition enhances critical thinking and evaluation skills. Throughout the course of the text, Drs. Barbara H. Connolly and Patricia C. Montgomery present case studies of 5 children with various developmental disabilities to bring a problem-solving approach to each individual chapter topic. The case studies include 2 two children with cerebral palsy (GMFCS Levels I and V), a child with myelomeningocele, a child with Down syndrome, and a child with developmental coordination disorder and attention-deficit hyperactivity disorder. Each chapter’s examination, evaluation, and intervention recommendations are accompanied by specific treatment objectives and therapeutic activities, plus a companion website with 17 videos, which contains 90 minutes of content to illustrate concepts. Recent research and clinical recommendations, as well as related references, are also provided in each chapter. This Fourth Edition utilizes the American Physical Therapy Association’s Guide to Physical Therapist Practice 3.0 and the World Health Organization’s International Classification of Functioning, Disability, and Health--Children and Youth as its framework. The focus of the chapters is on children’s participation and empowerment, rather than body function and structure. Examples of new and updated topics in the Fourth Edition: • Practice in the NICU • Early mobility strategies • Communication strategies with children and families • Aquatic therapy • Upper extremity constraint-induced therapy • Mirror therapy • Lower extremity treadmill training With helpful videos, informative figures, and compelling case studies, Therapeutic Exercise for Children With Developmental Disabilities, Fourth Edition is the perfect resource for both students and practicing clinicians.
Two important contributions to Greek pottery studies. Aftermath, by D. A. Amyx, is a catalogue of material supplementing his work in Corinth VII.2 but found after the cutoff of 1969 or omitted for some other reason. This article and Corinth VII.2 together stand as a full compilation of painters at present represented in the collection of the Corinth Excavations. The Chimaera Group at Corinth and Dodwellians in the Potters' Quarter are both by Patricia Lawrence. The first is a thoughtful analysis of this group of painters, based on a close examination of material found in the excavations at Corinth but including attributed pieces from other sites. The second studies 15 new fragments and reexamines material previously published in Corinth XV.3, demonstrating that the Geladakis Painter, as well as several Dodwellians, are represented there.
Written by nurse practitioners for nurse practitioners, this one-of-a-kind resource provides the expert guidance you need to provide comprehensive primary care to children with special needs and their families. It addresses specific conditions that require alterations in standard primary care and offers practical advice on managing the major issues common to children with chronic conditions. A consistent format makes it easy to locate essential information on each condition. Plus, valuable resources help you manage the issues and gaps in health care coverage that may hinder quality care. This is the only book authored by Nurse Practitioners that focuses on managing the primary health care needs of children with chronic conditions. More than 60 expert contributors provide the most current information available on specific conditions. Comprehensive summary boxes at the end of all chronic conditions chapters provide at-a-glance access to key information. Resource lists at the end of each chronic condition chapter direct you to helpful websites, national organizations, and additional sources of information that you can share with parents and families. Updated references ensure you have access to the most current, evidence-based coverage of the latest research findings and management protocols. Four new chapters — Celiac Disease, Eating Disorders, Muscular Dystrophy, and Obesity — keep you up to date with the latest developments in treating these conditions. Autism content is updated with the latest research on autism spectrum disorders, including current methods of evaluation, identification, and management. Coverage of systems of care features new information on how to help families obtain high-quality and cost-effective coordinated services within our complex health care system. Easy-to-find boxes in the chronic conditions chapters summarize important information on treatment, associated problems, clinical manifestations, and differential diagnosis.
Examines effects of the environmental distribution of antimicrobial resistance genes on human health and the ecosystem Resistance genes are everywhere in nature—in pathogens, commensals, and environmental microorganisms. This contributed work shows how the environment plays a pivotal role in the development of antimicrobial resistance traits in bacteria and the distribution of resistant microbial species, resistant genetic material, and antibiotic compounds. Readers will discover the impact of the distribution in the environment of antimicrobial resistance genes and antibiotics on both the ecosystem and human and animal health. Antimicrobial Resistance in the Environment is divided into four parts: Part I, Sources, including ecological and clinical consequences of antibiotic resistance by environmental microbes Part II, Fate, including strategies to assess and minimize the biological risk of antibiotic resistance in the environment Part III, Antimicrobial Substances and Resistance, including antibiotics in the aquatic environment Part IV, Effects and Risks, including the effect of antimicrobials used for non-human purposes on human health Recognizing the intricate links among overlapping complex systems, this book examines antimicrobial resistance using a comprehensive ecosystem approach. Moreover, the book's multidisciplinary framework applies principles of microbiology, environmental toxicology, and chemistry to assess the human and ecological risks associated with exposure to antibiotics or antibiotic resistance genes that are environmental contaminants. Each chapter has been written by one or more leading researchers in such fields as microbiology, environmental science, ecology, and toxicology. Comprehensive reference lists at the end of all chapters serve as a gateway to the primary research in the field. Presenting and analyzing the latest findings in a field of growing importance to human and environmental health, this text offers readers new insights into the role of the environment in antimicrobial resistance development, the dissemination of antimicrobial resistant genetic elements, and the transport of antibiotic resistance genes and antibiotics.
“Skinner was what servs called each other. It was because they were fake, their skins a disguise…” Every year when the deep cold of winter sets in, unbeknownst to humanity, dangerous visitors arrive from another world. Disguised as humans, the Nafikh move among us in secret, hungry for tastes of this existence. Their fickle, often-violent needs must be accommodated at all times, and the price of keeping them satisfied is paid most heavily by servs. Created by the Nafikh to attend their every whim, servs are physically indistinguishable from humans but for the Source, the painful, white-hot energy that both animates and enslaves them. Destined to live in pain, unable to escape their bondage, servs dwell in a bleak underworld where life is brutal and short. Lucy is a serv who arrived as a baby and by chance was adopted by humans. She’s an outcast among outcasts, struggling to find a place where she truly belongs. For years she has been walking a tightrope, balancing between the horrors of her serv existence and the ordinary life she desperately longs to maintain; her human family unaware of her darkest secrets. But when the body of a serv child turns up and Lucy is implicated in the gruesome death, the worlds she’s tried so hard to keep separate collide. Hounded by the police, turned upon by the servs who once held her dear, she must protect her family and the life she’s made for herself. Skyhorse Publishing, under our Night Shade and Talos imprints, is proud to publish a broad range of titles for readers interested in science fiction (space opera, time travel, hard SF, alien invasion, near-future dystopia), fantasy (grimdark, sword and sorcery, contemporary urban fantasy, steampunk, alternative history), and horror (zombies, vampires, and the occult and supernatural), and much more. While not every title we publish becomes a New York Times bestseller, a national bestseller, or a Hugo or Nebula award-winner, we are committed to publishing quality books from a diverse group of authors.
In Women, Death and Literature in Post-Reformation England Patricia Phillippy examines the crucial literal and figurative roles played by women in death and mourning during the early modern period. By examining early modern funerary, liturgical and lamentational practices, as well as diaries, poems and plays, she illustrates the consistent gendering of rival styles of grief in post-Reformation England. Phillippy emphasises the period's textual and cultural constructions of male and female subjects as predicated upon gendered approaches to death. She argues that while feminine grief is condemned as immoderately emotional by male reformers, the same characteristic that opens women's mourning to censure enable its use as a means of empowering women's speech. Phillippy calls on a wide range of published and archival material that date from the Reformation to well into the seventeenth century, providing a study that will appeal to cultural as well as literary historians.
Founded on the premise that zoos are ‘bilingual’—that the zoo, in the shape of its staff and exhibits, and its visitors speak distinct languages—this enlightening analysis of the informal learning that occurs in zoos examines the ‘speech’ of exhibits and staff as well as the discourse of visitors beginning in the earliest years. Using real-life conversations among visitors as a basis for discussion, the authors interrogate children’s responses to the exhibits and by doing so develop an ‘informal learning model’ and a ‘zoo knowledge model’ that prompts suggestions for activities that classroom educators can use before, during, and after a zoo visit. Their analysis of the ‘visitor voice’ informs creative suggestions for how to enhance the educational experiences of young patrons. By assessing visitors’ entry knowledge and their interpretations of the exhibits, the authors establish a baseline for zoos that helps them to refine their communication with visitors, for example in expanding knowledge of issues concerning biodiversity and biological conservation. The book includes practical advice for zoo and classroom educators about positive ways to prepare for zoo visits, engaging activities during visits, and follow-up work that maximizes the pedagogical benefits. It also reflects on the interplay between the developing role of zoos as facilitators of learning, and the ways in which zoos help visitors assimilate the knowledge on offer. In addition to being essential reading for educators in zoos and in the classroom, this volume is full of insights with much broader contextual relevance for getting the most out of museum visits and field trips in general.
Therapeutic Exercise in Developmental Disabilities, Second Edition is a unique book for pediatric physical therapy. the purpose of this groundbreaking book is to integrate theory, assessment, and treatment using functional outcomes and a problem solving approach. This innovative book is written using a problem solving approach as opposed to specific intervention approaches. the chapters integrate case studies of four children and the application of principles discussed throughout the book as they apply to the children. the book opens with an overview of neural organization and movement, which
In honor of the Capitol's centennial, the building's history is described back to its construction 100 years ago. Lavishly illustrated, the volume provides a long overdue tribute to this crown jewel of Montana architecture. 27 photos. 45 illustrations.
Photographer Joel Sartore and Cambridge residents Patricia Harris and David Lyon take the traveler artfully along the Freedom Trail, through the cobblestone alleys of Beacon Hill and past redbrick mansions where writers such as Henry James and Louisa May Alcott once lived. Special topics include the new Irish pub scene, JFK's Boston, the fabulous Isabella Stewart Gardner Museum, and much more.
Alone among books for the regional geography course, Pulsipher and Pulsiphers World Regional Geography humanizes geographical issues, showing how larger geographical forces affect the lives of individuals and communities around the globe. Students explore the field's defining concepts by focusing on the stories of real people, global trends and interregional linkages, and contemporary topics that transcend regional borders (the war on terrorism, global political order, interregional trade, the global economy, popular culture, the environment, and the Internet). Along with a thorough updating, this edition introduces several new features that will help students explore geography across regions, while enhancing the book's standing as the most highly visual textbook for the world regional course.
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