The field of asthma has expanded in the last decade with specific drugs targeting the disease mechanisms. This book is an updated treatise covering diagnoses, phenotypes and endotypes of asthma along with its management. It includes diagnostic work-up which is required prior to medical assistance and basic immunology assessment, illustrating the types, severity, number of exacerbations due to disease activity, allergy or infections. As the treatment selection has changed from one size fits all to precision-based medicine, it aims to refine asthma management with right medication usage, neither overuse nor underuse, and initiation of the new hospital administered biologic drugs. Key Features • Covers both respiratory physiology and airway inflammation • Highlights the use of biologic drugs • Discusses precision-based medicine • Explores the comorbidities through clinical cases
Complementary and alternative treatments for two of the most prevalent mental health complaints. Whether it’s the latest diet craze, acupuncture, fish oil, vitamin D, St. John’s wort, or some new “miracle mood cure,” many therapists don’t feel sufficiently well versed in the various complementary and alternative (CAM) remedies out there to give a sound opinion. Others may fear deleterious side-effects or interactions with psychiatric drugs their clients are already taking. Even more pervasive is the safety concern that their clients may inappropriately experiment with these treatments in lieu of more potent and, sometimes, necessary conventional care. This book addresses all these common concerns and more when it comes to treating anxiety and depression, providing an essential framework for understanding holistic care and helping to make sense of the alternative solutions available. Bongiorno, a naturopath who regularly works with mental health clients, walks readers through the fundamentals, laying out the basic principles of holistic care, the most salient CAM research to date as well as its safety concerns, and steps to take to determine if it’s appropriate to introduce a CAM modality to your client’s treatment. He also explains when holistic approaches may not be appropriate. Readers are then taught how to assess lifestyle and physiological factors that can contribute to a client’s anxiety and depression, such as sleep, diet, caffeine intake, exercise, sunlight exposure, media use, low blood sugar, cholesterol levels, thyroid issues, hormone issues, digestive health, and more. With an understanding of these underlying factors in place, the book goes on to outline the most effective vitamins, minerals, botanicals, and mind-body therapies for anxiety and depression—from amino acids to zinc, acupuncture to Qi gong, and everything in between—including dosages, best applications, and contraindications. How to work integratively when a client is already on an anxiolytic or antidepressant is also covered. A final chapter explains exactly how to make recommendations and design a successful treatment plan best suited to your client. With instructive graphics and loads of case vignettes, this resource is your go-to guide for understanding the complementary and alternative options for two of therapy’s most ubiquitous problems.
How the experience of war impacted on the town, from the initial enthusiasm for sorting out the German Kaiser in time for Christmas 1914, to the gradual realization of the enormity of human sacrifice the families of Washington were committed to as the war stretched out over the next four years. A record of the growing disillusion of the people, their tragedies and hardships and a determination to see it through. The Great War affected everyone. At home there were wounded soldiers in military hospitals, refugees from Belgium and later on German prisoners of war. There were food and fuel shortages and disruption to schooling. The role of women changed dramatically and they undertook a variety of work undreamed of in peacetime. Meanwhile, men serving in the armed forces were scattered far and wide. Extracts from contemporary letters reveal their heroism and give insights into what it was like under battle conditions.
Ranging over 2,500 years,Cities in Civilizationis a tribute to the city as the birthplace of Western civilization. Drawing on the contributions of economists and geographers, of cultural, technological, and social historians, Sir Peter Hall examines twenty-one cities at their greatest moments. Hall describes the achievements of these golden ages and outlines the precise combinations of forces -- both universal and local -- that led to each city's belle epoque. Hall identifies four distinct expressions of civic innovation: artistic growth, technological progress, the marriage of culture and technology, and solutions to evolving problems. Descriptions of Periclean Athens, Renaissance Florence, Elizabethan London, and nineteenth-century Vienna bring to life those seedbeds of artistic and intellectual creativity. Explorations of Manchester during the Industrial Revolution, of Henry Ford's Detroit, and of Palo Alto at the dawn of the computer age highlight centers of technological advances. Tales of the creation of Los Angeles' movie industry and the birth of the blues and rock 'n' roll in Memphis depict the marriage of culture and technology. Finally, Hall celebrates cities that have been forced to solve problems created by their very size. With Imperial Rome came the apartment block and aqueduct; nineteenth-century London introduced policing, prisons, and sewers; twentieth-century New York developed the skyscraper; and Los Angeles became the first city without a center, a city ruled instead by the car. And in a fascinating conclusion, Hall speculates on urban creativity in the twenty-first century. This penetrating study reveals not only the lives of cities but also the lives of the people who built them and created the civilizations within them. A decade in the making,Cities in Civilizationis the definitive account of the culture of cities.
Sports fans as well as reluctant readers will enjoy this book detailing the careers of 10 of baseball's most daring weapons, the baseball stealers. This book covers the careers and game highlights of such great base stealers as Luis Aparicio, Lou Brock, Ty Cobb, Eddie Collins, Rickey Henderson, Kenny Lofton, Joe Morgan, Tim Raines, Jackie Robinson, and Maury Wills.
Algorithms that have to process large data sets have to take into account that the cost of memory access depends on where the data is stored. Traditional algorithm design is based on the von Neumann model where accesses to memory have uniform cost. Actual machines increasingly deviate from this model: while waiting for memory access, nowadays, microprocessors can in principle execute 1000 additions of registers; for hard disk access this factor can reach six orders of magnitude. The 16 coherent chapters in this monograph-like tutorial book introduce and survey algorithmic techniques used to achieve high performance on memory hierarchies; emphasis is placed on methods interesting from a theoretical as well as important from a practical point of view.
This book constitutes the refereed proceedings of the 13th International Conference on Modelling Techniques and Tools for Computer Performance Evaluation, TOOLS 2003, held in Urbana, IL, USA, in September 2003. The 17 revised full papers presented together with a keynote paper were carefully reviewed and selected for inclusion in the book. The papers are organized in topical sections on tools for measuring, benchmarking, and online control; tools for evaluation of stochastic models; queueing models; Markovian arrival processes and phase-type distributions; and supporting model-based design of systems.
Why are humans so fond of water? Why is our skin colour so variable? Why aren’t we hairy like our close ape relatives? A savannah scenario of human evolution has been widely accepted primarily due to fossil evidence; and fossils do not offer insight into these questions. Other alternative evolutionary scenarios might, but these models have been rejected. This book explores a controversial idea – that human evolution was intimately associated with watery habitats as much or more than typical savannahs. Written from a medical point of view, the author presents evidence supporting a credible alternative explanation for how humans diverged from our primate ancestors. Anatomical and physiological evidence offer insight into hairlessness, different coloured skin, subcutaneous fat, large brains, a marine-type kidney, a unique heat regulation system and speech. This evidence suggests that humans may well have evolved, not just as savannah mammals, as is generally believed, but with more affinity for aquatic habitats – rivers, streams, lakes and coasts. Key Features: Presents the evidence for a close association between riparian habitats and the origin of humans Reviews the "savannah ape" hypothesis for human origins Describes various anatomical adaptations that are associated with hypotheses of human evolution Explores characteristics from the head and neck such as skull and sinus structures, the larynx and ear structures and functions Corroborates a novel scenario for the origin of human kind ‘... a counterpoint to the textbooks or other books which deal with human evolution. I think readers will see it as a clearly written, well-supported discussion of an alternativeperspective on human origins’. —Kathlyn Stewart, Canadian Museum of Nature, Ottawa ‘There is a pressing need to expand discussions of human evolution to includenon-anthropocentric narratives that use comparative data. Dr Rhys-Evans’ specific expertise and experience with the human head, neck, ears, throat, mouth and sinuses, provides him with a distinct perspective from which to approach the subject of human evolution. Moreover, his understanding of non-anthropocentric views of human evolution (water-based models), allow him to apply a biological approach to the subject, missing in more traditional (savannah-based) models’. —Stephen Munro, National Museum of Australia
Disseminating Security Updates at Internet Scale describes a new system, "Revere", that addresses these problems. "Revere" builds large-scale, self-organizing and resilient overlay networks on top of the Internet to push security updates from dissemination centers to individual nodes. "Revere" also sets up repository servers for individual nodes to pull missed security updates. This book further discusses how to protect this push-and-pull dissemination procedure and how to secure "Revere" overlay networks, considering possible attacks and countermeasures. Disseminating Security Updates at Internet Scale presents experimental measurements of a prototype implementation of "Revere" gathered using a large-scale oriented approach. These measurements suggest that "Revere" can deliver security updates at the required scale, speed and resiliency for a reasonable cost. Disseminating Security Updates at Internet Scale will be helpful to those trying to design peer systems at large scale when security is a concern, since many of the issues faced by these designs are also faced by "Revere". The "Revere" solutions may not always be appropriate for other peer systems with very different goals, but the analysis of the problems and possible solutions discussed here will be helpful in designing a customized approach for such systems.
Memory Architecture Exploration for Programmable Embedded Systems addresses efficient exploration of alternative memory architectures, assisted by a "compiler-in-the-loop" that allows effective matching of the target application to the processor-memory architecture. This new approach for memory architecture exploration replaces the traditional black-box view of the memory system and allows for aggressive co-optimization of the programmable processor together with a customized memory system. The book concludes with a set of experiments demonstrating the utility of this exploration approach. The authors perform architecture and compiler exploration for a set of large, real-life benchmarks, uncovering promising memory configurations from different perspectives, such as cost, performance and power.
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