As the profession of clinical exercise physiology continues to evolve, there is one cornerstone text that evolves along with it. Clinical Exercise Physiology, Fourth Edition With Web Resource, has been a mainstay in the field since its inception in 2003, and the revisions and additions to this latest rendition reinforce its elite status. As the most comprehensive resource available, Clinical Exercise Physiology, Fourth Edition, provides greater coverage and depth of diseases than is typically found in most clinical exercise physiology textbooks. It thoroughly examines the effects of exercise on chronic disease and then investigates 24 chronic conditions, covering the scope of each disease as well as the pathophysiology, medications, and clinical applications. It also examines clinical considerations and exercise prescriptions for four special populations. This fourth edition reflects the latest American College of Sports Medicine (ACSM) standards and guidelines, making it an ideal resource for candidates preparing for ACSM Clinical Exercise Physiologist certification. In addition to updated content that aligns with current science and evidence-based practice guidelines, the fourth edition also incorporates the following: • A closer and more up-to-date look at the state of the profession • A new web resource featuring case studies that depict real-life scenarios • A new chapter on Parkinson’s disease • Enhanced coverage of exercise testing and exercise prescription, in separate chapters to delve deeper into each of those topics • An expanded chapter on end-stage renal disease, to more broadly cover chronic kidney disease • Significant revisions to chapters on metabolic syndrome, diabetes, and heart failure The online case studies are written in the form of SOAP (Subjective, Objective, Assessment, Plan) notes, reflecting common medical chart documentation, to help readers experience realistic examples. The text also offers Practical Application sidebars in each chapter; some of these sidebars focus on exercise prescription, and other Practical Application sidebars review the relevant literature related to physiological adaptations to exercise training. To aid in course preparation, instructors are provided a test package, chapter quizzes, and a presentation package plus image bank. Clinical Exercise Physiology, Fourth Edition, offers a contemporary review of the variety of diseases and conditions that students and professionals may encounter in the field. New and veteran clinical exercise physiologists alike, as well as those preparing for ACSM certification exams, will appreciate the in-depth coverage of the clinical populations that benefit from physical activity and exercise.
Drawing on a combination of interviews and auto-ethnographic data, Education, Retirement and Career Transitions for 'Black' Ex-Professional Footballers provides a case-study of 16 'black' British male professional footballers' preparedness and experiences of retirement and transition from careers as professional athletes to mainstream work.
This exhaustive reference includes new chapters and pedagogical features, as well as—for the first time—content on managing fragility factures. To facilitate fast, easy absorption of the material, this edition has been streamlined and now includes more tables, charts, and treatment algorithms than ever before. Experts in their field share their experiences and offer insights and guidance on the latest technical developments for common orthopaedic procedures, including their preferred treatment options.
This second edition of what was in 1999 an acclaimed work, has been completely rewritten. In approaching this, the authors have considerably increased the analysis of the theoretical aspects of criminal law and strengthened citations of academic literature and comparative case law while keeping the narrative concise and focused for easy use by practitioners. Key benefits to readers include a complete overview of criminal law theory; a new series of chapters on the law of evidence as it applies in the fraught circumstances of a criminal trial; a much more analytical approach to the general part and to criminal defences; and the comprehensive coverage of all the major, and many minor, areas of indictable crime. Since the last edition, commentary and case law on sexual offences has proliferated as have legislative interventions; a completely new scheme for dealing with property offences was necessitated by a series of recent statutes; company law and competition offences have assumed a greater significance; and the range of offences covered has had to be increased in order to ensure a comprehensive coverage of this most sensitive and politically charged aspect of law.
The authors' aim is to present a review of experimental and theoretical research that has been done to establish and to explain the physical properties of actinide compounds. The book is aimed at physicists and chemists. It was thought useful to collect a large selection of diagrams of experimental data scattered in the literature. Experiment and theory are presented separately, with cross references. Not all work has been included: rather, typical examples are discussed. We apologize to all researchers whose work has not been quoted. Since we report on an active field of research, clearly the data and their interpretation are subject to change. We benefitted greatly from discussions with many of our colleagues, particularly with Drs. G. H. Lander and W. Suski. The help of Mrs. C. Bovey and Ch. Lewis in the preparation of the manuscript, and the artwork and photo graphic work of Ms. Y. Magnenat and E. Spielmann of the Institute of Experi mental Physics of the University of Lausanne, are gratefully acknowledged. Our particular thanks are due to Ms. J. Ubby for her skillful and patient editorial work.
The public holds many misconceptions about criminal justice and prison life. Prisons do not resemble country clubs, even though the material amenities have improved over the years. Incarceration is not a deterrent to crime, but instead often reinforces a criminal lifestyle. The deprivation of liberty is basically counterproductive, as it is an impediment to the reintegration of the offender into society, a prerequisite to sound crime prevention. In Criminal Justice: Pros and Cons, author Paul Williams seeks to dispel these common myths about the criminal justice system. Relying on five decades of experience as a penitentiary psychologist and parole board member, he explores some of the problems and challenges of the current system as it stands now. He includes personal anecdotes from his many years dealing with the system firsthand. Williams examines the parole process, which is contingent upon an institutional experience directed toward future, crime-free living in the community rather than directed at suppression and control. He also states that the predominant bureaucratic approach, bolstered by technological advance, must be constrained so as not to supplant the personal element in this complex people business. A vibrant, autonomous, community-based sector is essential to the development and maintenance of a healthy criminal justice system. Learn the ins and outs of the criminal justice system from an insiders personal experiences in Criminal Justice: Pros and Cons.
I Witness is a tell-all book about the authors family and how their family religion, Jehovahs Witness, destroyed and divided the family. The author, Paul J. Williams, delivers the shock-n-awe truths about the mental and emotional abuse, pain, struggles, and pressure that his family experienced as Jehovahs Witness. In his book, I Witness, Paul shares his dramatic and controversial conversion from Jehovahs Witness to Christianity. Paul describes his escape and the impact of leaving the Jehovahs Witness religion and changing faiths. This book provides true stories and life situations this family experienced as devout Jehovahs Witnesses and how the strict rules of the religion dismantled the family and destroyed valuable family relationships. Paul talks about his Father, who died at a young age over the religions controversial policy against blood transfusions, and how losing his Dad at an early age has affected his life.
This work identifies developmental stages in the acquisition of object pronouns by instructed second language learners of Spanish. It examines learners ranging from beginner to advanced, where the most advanced are themselves teachers of Spanish language courses. Study abroad experience is also a variable in the data. The book explores language production from a functionalist perspective, examining form-to-function and function-to-form mappings. It provides insights into related developments in production, placement and processing of object pronouns. Detailed analysis reveals that the most powerful predictor of performance across levels and within levels for each of these is the level of the learner.Formal instruction and the study abroad experience is examined, both the specific instruction on object pronouns and overall exposure to instruction.
This study aims to determine a method for examining the concept of Messianic expectation and to examine how the concept of re-lecture or re-reading has been helpful in the development of Messianic expectation in the book of Isaiah. It looks at how the book of Isaiah has been used to engender messianic expectation.
Antibacterial agents act against bacterial infection either by killing the bacterium or by arresting its growth. They do this by targeting bacterial DNA and its associated processes, attacking bacterial metabolic processes including protein synthesis, or interfering with bacterial cell wall synthesis and function. Antibacterial Agents is an essential guide to this important class of chemotherapeutic drugs. Compounds are organised according to their target, which helps the reader understand the mechanism of action of these drugs and how resistance can arise. The book uses an integrated “lab-to-clinic” approach which covers drug discovery, source or synthesis, mode of action, mechanisms of resistance, clinical aspects (including links to current guidelines, significant drug interactions, cautions and contraindications), prodrugs and future improvements. Agents covered include: agents targeting DNA - quinolone, rifamycin, and nitroimidazole antibacterial agents agents targeting metabolic processes - sulfonamide antibacterial agents and trimethoprim agents targeting protein synthesis - aminoglycoside, macrolide and tetracycline antibiotics, chloramphenicol, and oxazolidinones agents targeting cell wall synthesis - β-Lactam and glycopeptide antibiotics, cycloserine, isonaizid, and daptomycin Antibacterial Agents will find a place on the bookshelves of students of pharmacy, pharmacology, pharmaceutical sciences, drug design/discovery, and medicinal chemistry, and as a bench reference for pharmacists and pharmaceutical researchers in academia and industry.
Osteoporosis, a growing epidemic among women in North America, Europe, and Japan, is a painful, costly disease that has presented a treatment challenge to healthcare professionals. Until recently, therapies have focused on agents that slow bone resorption, and have had only limited success at increasing bone mass. However, exciting new developments are on the verge of changing the treatment of this debilitating disorder. Two anabolic agents, the parathyroid hormone (PTH) and the fluoride ion, show tremendous promise as tools for building and retaining bone - with no adverse side effects. Anabolic Treatments for Osteoporosis is a comprehensive account of the latest studies that have been carried out on these two agents, and a thorough assessment of their prospects as osteoporosis therapeutics. This unique book combines basic science and up-to-date clinical data to present a complete picture of this breakthrough in the treatment of a globally significant health issue.
From basic science to clinical care, to epidemiological disease patters, The Neurology of AIDS is the only complete textbook available on AIDS neurology and the only one comprehensive enough to stand alone in each segment of study in brain disorders affected by the human immunodeficiency virus. It is an indispensable resource for students, resident physicians, practicing physicians, and for researchers and experts in the HIV/AIDS field. Oxford Clinical Neuroscience is a comprehensive, cross-searchable collection of resources offering quick and easy access to eleven of Oxford University Press's prestigious neuroscience texts. Joining Oxford Medicine Online these resources offer students, specialists and clinical researchers the best quality content in an easy-to-access format.
What is single-case research? How can single-case methods be used within sport and exercise? Single-case research is a powerful method for examining change in outcome variables such as behaviour, performance and psychological constructs, and for assessing the efficacy of interventions. It has innumerable uses within the context of sport and exercise science, such as in the development of more effective performance techniques for athletes and sportspeople and in helping us to better understand exercise behaviours in clinical populations. However, the fundamental principles and techniques of single-case research have not always been clearly understood by students and researchers working in these fields. Single-Case Research Methods in Sport and Exercise Psychology is the first book to fully explain single-case research in the context of sport and exercise. Starting with first principles, the book offers a comprehensive introduction to the single-case research process, from study design to data analysis and presentation. Including case studies and examples from across sport and exercise psychology, the book provides practical guidance for students and researchers and demonstrates the advantages and common pitfalls of single-case research for anybody working in applied or behavioural science in a sport or exercise setting.
Orthopaedics and orthopaedic trauma are highly complex subjects that can prove difficult to quantify, but accurate measurement is required for setting standards of care and for assessing the severity of an injury. This book will help the reader assess outcome instruments, and provides many references to sources of instruments and techniques to use. It aims to assist the reader in making an informed selection from the different scoring systems available. Outcome Measures in Orthopaedics and Orthopaedic Trauma is a combined and fully revised new edition of the highly regarded Outcome Measures in Orthopaedics and Outcome Measures in Trauma, the first books devoted to the topic of outcome measures for orthopaedic and trauma surgeons and researchers.
Since its first edition over 60 years ago, Rockwood and Green’s Fractures in Adults has been the go-to reference for treating a wide range of fractures in adult patients. The landmark, two-volume tenth edition continues this tradition with two new international editors, a refreshed mix of contributors, and revised content throughout, bringing you fully up to date with today’s techniques and technologies for treating fractures in orthopaedics. Drs. Paul Tornetta III, William M. Ricci, Robert F. Ostrum, Michael D. McKee, Benjamin J. Ollivere, and Victor A. de Ridder lead a team of experts who ensure that the most up-to-date information is presented in a comprehensive yet easy to digest manner.
Few teachings of the Puritans have provoked such strong reactions and conflicting interpretations as their views on preparing for saving faith. Many twentieth-century scholars dismissed preparation as a prime example of regression from the Reformed doctrine of grace for a man-centered legalism. In Prepared by Grace, for Grace , Joel Beeke and Paul Smalley make careful analysis of the Puritan understanding of preparatory grace, demonstrate its fundamental continuity with the Reformed tradition, and identify matters where even the Puritans disagreed among themselves. Clearing away the many misconceptions and associated accusations of preparationism, this study is sure to be the standard work on how the Puritans understood the ordinary way God leads sinners to Christ. Table of Contents: Introduction: The Question of Preparationism 1. Preparation and Modern Scholarship 2. Precedents to Puritan Preparation: Augustine to Calvin 3. Preparation and Early English Puritans: Perkins, Sibbes, and Preston 4. Preparation for Conversion: William Ames 5. Preparation in Early New England (I): Thomas Hooker 6. Preparation in Early New England (II): Shepard and Pemble 7. Preparation and the Antinomian Controversy: John Cotton 8. Preparation at the Pinnacle of Puritanism: Westminster, Burroughs, and Guthrie 9. Preparation under a Scholastic Lens: Norton 10. Preparation and Later Puritan Critiques: Goodwin and Firmin 11. Later Puritan Preparation: Flavel and Bunyan 12. Jonathan Edwards and Seeking God 13. Continental Reformed Perspectives: Zwingli to Witsius 14. The Grace of Preparation for Faith Appendix: William Ames's Theological Disputation on Preparation
This volume traces Paul Hirst's approach to contemporary politics, an approach that reasons from real political problems rather than abstract concepts, arguing for a "third way" between state socialism and "laissez- faire" capitalism.
Critics outside the church often accuse the Old Testament God of genocide, racism, ethnic cleansing, and violence. But a rising tide of critics within the church claim that Moses and other "primitive," violence-prone prophets were mistaken about God's commands and character. Both sets of critics dismiss this allegedly harsh, flawed, "textual" Old Testament God in favor of the kind, compassionate, "actual" God revealed by Jesus. Are they right to do so? Following his popular book Is God a Moral Monster?, noted apologist Paul Copan confronts false, imbalanced teaching that is confusing and misleading many Christians. Copan takes on some of the most difficult Old Testament challenges and places them in their larger historical and theological contexts. He explores the kindness, patience, and compassion of God in the Old Testament and shows how Jesus in the New Testament reveals not only divine kindness but also divine severity. The book includes a detailed Scripture index of difficult and controversial passages and is helpful for anyone interested in understanding the flaws in these emerging claims that are creating a destructive gap between the Testaments.
The 6th edition of this highly respected text builds upon the successful structure, engaging writing style and clear presentation of previous editions. Examining urban social geography from a theoretical and historical perspective, it also explores how it has developed into the modern day. Taking account of recent critical work, whilst simultaneously presenting well established approaches to the subject, it ensures students are well-informed about all the issues. The result is a topical book that is clear and accessible for students
Arc-continent collision has been one of the important tectonic processes in the formation of mountain belts throughout geological time, and it continues to be so today along tectonically active plate boundaries such as those in the SW Pacific or the Caribbean. Arc-continent collision is thought to have been one of the most important process involved in the growth of the continental crust over geological time, and may also play an important role in its recycling back into the mantle via subduction. Understanding the geological processes that take place during arc-continent collision is therefore of importance for our understanding of how collisional orogens evolve and how the continental crust grows or is destroyed. Furthermore, zones of arc-continent collision are producers of much of the worlds primary economic wealth in the form of minerals, so understanding the processes that take place during these tectonic events is of importance in modeling how this mineral wealth is formed and preserved. This book brings together seventeen papers that are dedicated to the investigation of the tectonic processes that take place during arc-continent collision. It is divided into four sections that deal firstly with the main players involved in any arc-continent collision; the continental margin, the subduction zone, and finally the volcanic arc and its mineral deposits. The second section presents eight examples of arc-continent collisions that range from being currently active through to Palaeoproterozoic in age. The third section contains two papers, one that deals with the obduction of large-slab ophiolites and a second that presents a wide range of physical models of arc-continent collision. The fourth section brings everything that comes before together into a discussion of the processes of arc-continent collision.
In this volume that is as big and as varied as the nation it portrays are over 1,400 entries written by some 900 historians and other scholars, illuminating not only America's political, diplomatic, and military history, but also social, cultural, and intellectual trends; science, technology, and medicine; the arts; and religion.
Signs and Symptoms in Family Medicine, by Paul M. Paulman, MD et al, provides a unique evidence-based approach to diagnosis based on presenting signs. Focusing on the most common diagnoses observed in a medical practice, the book helps you "think horses, not zebras." A rating system for the sensitivity and specificity of the signs, symptoms, and diagnostic tests aids in the development of a focused and accurate differential diagnosis. This handy, take-along guide is ideal for quick reference at the bedside or a refresher while prepping for the boards. Confidently diagnose and treat common illnesses and conditions using an evidence-based, systematic approach. A unique ratings system indicates how frequently various symptoms and signs are associated with a particular diagnosis. Easily find what you need with consistently organized chapters and an at-a-glance bulleted format. "Think horses, not zebras" with a focus on the most frequently encountered diagnoses. Rule out the most serious possibilities quickly with differential diagnoses listed in descending order of severity. Review symptoms, signs, suggested work-up, and patient disposition for each diagnosis.
Is medication the right choice for treating your child's emotional or behavioral problems? How can you be confident that he or she has been properly diagnosed? What do you need to know to get the most benefits from medication treatment, with the least risk? From leading child psychiatrists Timothy Wilens and Paul Hammerness, this book has already empowered many tens of thousands of parents to make tough decisions and become active, informed managers of their children's care. With clarity and compassion, it explains how medications work; their impact on kids' emotions, personality, school performance, and health; the pros and cons of specific treatment options; and much more. In addition to parents, teachers and other school professionals will find this book an ideal reference. New in the Fourth Edition: Extensively revised to include the latest information about medications and their uses, the fourth edition is even more accessible, and includes pullouts, bulleted lists, and "take home points" highlighting critical facts.
Depression: The Evolution of Powerlessness offers a fresh perspective on research, theory and conceptualisations of the depressive disorders, derived from evolution theory and arguing for the adoption of the biopsychosocial model. The book is split into three parts. Part I explores the major distinctions between all types of depression and Part II offers an overview of evolution theory and its application to depression. Part III covers the major theories of depression; theories are compared and contrasted, highlighting controversies, weaknesses and strengths, and where cross fertilisation of ideas may be beneficial. The final chapter outlines why simple theories of aetiology are inadequate and explores the role of culture and social relationships as elicitors of many forms of depression. This Classic Edition, with a new introduction from the author, brings Paul Gilbert's early work to a new audience, and will be of interest to clinicians, researchers and historians in the field of psychology.
Hospital Medicine is the fasting growing field of Medicine, and the importance of hospitalists in the delivery of care and success of hospitals continues to increase. The practice of hospital medicine is both rewarding and challenging: hospitalists need to provide high-quality care using the best available evidence in an efficient, cost-effective manner. In recognition of the need for rapid access to essential information, this text provides a concise yet comprehensive source for busy clinicians. Essentials of Hospital Medicine provides detailed reviews of all clinical topics in inpatient medicine, including common diagnoses, hospital-acquired conditions, medical consultation, and palliative care, as well as key non-clinical topics, such as quality improvement tools, approach to medical errors, the business of medicine, and teaching tips. It is the single source needed for hospitalists striving to deliver outstanding care and provide value to their patients and hospitals.
During the Second World War, there were over 100 instances of naval engagements between ships, submarines and aircraft of the same side. In the past there has often been a reluctance by the authorities to admit to these losses but with operational records now available, it is possible for historians to explain how a good number of ships and submarines were attacked, damaged or sunk by the forces of their own side.
Clinical Assessment and Management of Severe Personality Disorders (Clinical Practice 35) offers the clinician working in the community a practicable approach to the treatment of patients with personality disorders. Clearly written, with minimal use of jargon, this book focuses on issues relevant to the clinician in private practice, including the diagnosis of a wide range of personality disorders and alternative management approaches. Recognizing patients with a personality disorder, differentiating one disorder from another, and using psychological tests in the diagnosis and treatment of personality disorders are among the clinical assessment issues covered. Two commonly encountered issues -- the assessment and management of patients using a neuropsychiatric approach and treatment of patients with comorbid symptoms and personality disorders -- are discussed. This book takes a broad approach to the management of personality disorders, moving beyond individual dynamic psychotherapy as the only treatment option. Pharmacological management of patients with personality disorders and differential management for patients in various settings are described. A discussion of the etiological impact and implications of early life experiences on the patient offers valuable insight for psychotherapeutic management. Clinicians are also provided with a useful framework for interacting and intervening with the families of patients with personality disorders.
Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.
Since its discovery 50 years ago, brain dopamine has been implicated in the control of movement and cognition, and is concerned with diverse brain diseases such as Parkinson's disease, schizophrenia and drug addiction. This book is an illustrated biography of the dopamine molecule, from its synthesis in the brain to its signalling mechanisms and ultimately to its metabolic breakdown. Using colour illustrations of positron emission tomography (PET) scans, each chapter presents a specific stage in the biochemical pathway for dopamine. Writing for researchers and graduate students, Paul Cumming presents a compilation of all that has been learned about dopamine through molecular imaging, a technology which allows the measurement of formerly invisible processes in the living brain. He reviews current technical controversies in the interpretation of dopamine imaging, and presents key results illuminating brain dopamine in illness and health.
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