The concept of hypoglycemia-associated autonomic failure (HAAF) in diabetes posits that recent antecedent hypoglycemia, as well as sleep or prior exercise, causes both defective glucose counterregulation (by attenuating the adrenomedullary epinephrine response, in the setting of absent insulin and glucagon responses) and hypoglycemia unawareness (by attenuating the sympathoadrenal, largely the sympathetic neural, response) and thus a vicious cycle of recurrent hypoglycemia. Albeit with different time courses, the pathophysiology of defense against hypoglycemia – no decrease in therapeutic insulin, no increase in glucagon and an attenuated increase in sympathoadrenal activity – is the same in type 1 diabetes and advanced type 2 diabetes. Hypoglycemia unawareness is reversible by 2–3 weeks of scrupulous avoidance of hypoglycemia in most affected patients. The pathophysiology of HAAF in diabetes explains why the incidence of hypoglycemia increases as patients approach the absolute endogenous insulin deficient end of the disease, provides a comprehensive set of risk factors including those indicative of HAAF, and leads logically to the practice of hypoglycemia risk factor reduction. Because of the risk of hypoglycemic mortality, presumably from cardiac arrhythmias, glycemic goals in diabetes should be individualized, based in part on the risk of hypoglycemia. By practicing hypoglycemia risk reduction – addressing the issue, applying the principles of aggressive glycemic therapy and considering both the conventional risk factors and those indicative of HAAF – it is possible to both improve glycemic control and reduce the risk of hypoglycemia in many patients with diabetes.
This comprehensive account of hypoglycemia provides a detailed scientific background and abundant clinical advice. It stresses the physiology and pathophysiology of glucose counterregulation and covers diabetes, the hypoglycemic disorders, and the approach to the patient. Hypoglycemia is a clinical problem mainly in diabetic patients on insulin.
Intended for diabetes researchers and medical professionals who work closely with patients with diabetes, this newly updated and expanded edition provides new perspectives and direct insight into the causes and consequences of this serious medical condition from one of the foremost experts in the field. Using the latest scientific and medical developments and trends, readers will learn how to identify, prevent, and treat this challenging phenomenon within the parameters of the diabetes care regimen.
Elephant Crossing. Houdini Needles. Miniskirt, Tickletoeteaser Tower, and Why Not Mountain. These are just some of the many names of places, rivers, mountains, and lakes that you will come across in the newest edition of British Columbia Place Names. This classic which, in its various editions, has sold over 29,000 copies, covers about 2,500 geographical features, cities, towns, and smaller communities in the province. The book abounds with fascinating historical facts, stories, and remarkable characters involved with the names of towns, cities, rivers, lakes, mountains, and islands. The selection was determined by the geographical importance of the feature as well as story of the naming. In the introduction the authors deal with the stages by which B.C. acquired its place names, the history of research into those names, and the categories into which they fall. The latter range from the honorific and commemorative to the comic and disrespectful. Aboriginal names receive particular attention. The location of each place is clearly indicated and the text is accompanied by detailed maps. Brief biographical accounts of persons with places named after them as well as an abundance of anecdotes make this a fascinating book for browsers and an invaluable resource for historians.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Substantially updated with more illustrations and brand-new chapters that reflect the growth and advances in the field, this latest edition of Acute Care Surgery features an editorial board drawn from the ranks of trauma surgery, emergency surgery, and critical care surgery. A comprehensive, updated, and timely overview of this fledgling specialty!
Master Dentistry is designed as a revision guide for dental students and presents the key elements of the curriculum in an easy-to-digest format. Based on sound educational principles, each volume in the series is fully illustrated throughout and is supported by extensive self-assessment questions which allow the reader to assess their own knowledge of the topic and perfect their exam techniques. This third edition has been fully updated throughout and addresses the oral and maxillofacial surgery, radiology, pathology and oral medicine aspects of dentistry. The Master Dentistry volumes are perfect for undergraduate students, vocational trainees and those preparing for post-graduate examinations such as the MJDF in the UK or international equivalent, and the ORE. Information presented in a style which facilitates easy recall for examination purposes and a ready understanding of the subject Key facts are highlighted and principles of diagnosis and management emphasised Gives the reader an understanding of evidence-based practice in an international context Offers practical guidance on how to prepare for exams and make best use of the time available Perfect for BDS exam preparation and candidates taking the MJDF, ORE or other post-graduate exams Each chapter has been fully revised and updated to reflect new research evidence and provide an international context including use of drug names The Human Disease and Patient Care chapter includes a new approach to medical risk assessment and updated guidance on the management of common medical emergencies Particularly significant changes in other chapters include surgical flap design, CBCT, radiotherapy, bisphosphonates, odontogenic keratocyst classification, zygoma implants, and contemporary specialist referral systems
The British General Election of 2015 is a must-read for anyone wanting to know how the action unfolded in the most unpredictable election for a generation. Drawing on hundreds of confidential interviews with all the key players, it offers a compelling insider's guide to the election's background, campaign, and the results which led to the formation of the first majority Conservative government in eighteen years. Designed to appeal to everyone from Westminster insiders, politics students and the wider general public, this is the authoritative account of the 2015 election. Continuing a proud Palgrave Macmillan tradition, The British General Election of 2015 is the 19th edition and celebrates the 70th year of this prestigious series.
Feuillerat's edition of the complete works of Sir Philip Sidney in the series Cambridge English Classics has long been out of print. It has however been reissued with the omission of the poetical works. The prose works are divided among the four volumes as follows: volume 1, Arcadia, 1590; volume 2, Arcadia, 1593 and The Lady of May; volume 3, The Defences of Poesie, Political Discourses, Correspondence and Translation; volume 4, Arcadia (original version).
Rethinking Biblical Scholarship" brings together seminal essays to provide readers with an assessment of the archaeological and exegetical research which has transformed the discipline of biblical studies over the last two decades. The essays focus on history and historiography, exploring how scholarly constructs and ideologies mould historical, literary and cultural data and shape scholarly discourse. Most of the essays illustrate the development of what has been called a "minimalist" methodology. Among the many central topics examined are the formation of the Jewish scriptural canon and how the concepts of "prophecy" and "apocalypse" illuminate the emergence of Judaism in the late Persian and Hellenistic periods.
If Christ had not risen from the dead, if God's plan for redemption had ended at the cross, what would our faith look like? Have we become so fixated on the cross that we have lost an understanding of the centrality of the resurrection? And if we ignore the resurrection, what effect does that have on our worldview, our evangelism, and our Christian practice? In The Cross Is Not Enough, Ross Clifford and Philip Johnson explore how the resurrection of Christ has been understood in times past and restore this linchpin doctrine to its rightful place as the basis of our hope, our worldview, and the way we live our lives. They compare Christianity's unique understanding of resurrection to other world religions and explore why the resurrection connects so readily with the human psyche. Pastors, teachers, students, and anyone involved in ministry will benefit from this insightful and engaging treatment of Christianity's most important doctrine.
Nursing Medical Emergency Patients is a practical guide to the nursing care and management of patients with medical emergencies involving system failure. Following an initial chapter on assessment, the authors adopt a system-by-system approach, with an emphasis on the clinical features of medical emergencies, their assessment, diagnosis and treatment. Nursing Medical Emergency Patients is a vital resource for all nurses working with medical emergency patients, and provides an essential companion to both Monitoring the Critically Ill Patient and Treating the Critically Ill Patient. Accessible and reader friendly Integrates theory with practice Adopts an evidence based approach Includes chapter objectives, 'best practice' boxes and case studies Refers to National guidelines and key initiatives e.g. outreach teams Includes legal and ethical issues
The sixth edition of this comprehensive yet concise Rosen & Barkin’s 5 Minute Emergency Medicine Consult pulls together up-to-date and evidence-based practice guidelines for easy use in a busy emergency department. In just two brief, bullet-friendly, clutter-free pages, you can quickly decipher the information you need to confirm your diagnosis, order tests, manage treatment and more!
The Corps of Royal Electrical and Mechanical Engineers (REME) provides the Armys integral repair and recovery capability. Its soldiers are deployed at the front line and have to be capable of switching instantly from a technical role to fighting alongside those they support, as their many awards for gallantry demonstrate.This, the third volume of REMEs distinguished history covers the period from post-Cold War drawdown to the end of UK combat operations in Afghanistan, during which time REME was continuously involved in operations. The narrative knits together personal accounts of front line experiences with an explanation the political and military background, with a particular focus on equipment support issues.It explains how REME operates and deals with broader issues related to the procurement and support of equipment, and the changing organizations delivering these vital services, within which members of REME have frequently played key enabling roles.
Like the works already published, these latest volumes of the Biographical Dictionary deal with theatre people of every ilk, ranging from dressers and one-performance actors to trumpeter John Shore (inventor of the tuning fork) and the incomparable Sarah Siddons. Also prominent is Susanna Rowson, a novelist, actress, and early female playwright. Although born into a British military family, Rowson often wrote plays that dealt with patriotic American themes and spent much of her career on the American stage. The theatrical jewel of these volumes is the "divine Sarah" Siddons: "She raised the tragedy to the skies," wrote William Hazlitt, and "embodied to our imagination the fables of mythology, of the heroic and dignified mortals of elder time." She endured much tragedy herself, including a crippling debilitating illness and the deaths of five of her seven children. Siddons played major roles in both comedy and tragedy, not the least of which was a performance as Hamlet.
A story two and a half thousand years in the making.... nineteen centuries before Columbus sailed for the New World, a thousand years before the Fall of Rome, and six hundred years before the Crucifixion of Christ, the first world empire rose up & spread across the known world.... then came a being from Creation's edge, & the slaughter began.... this fantasy novel based on a biblical story will transport you to a time when the world began to emerge from darkness and myth, when angels and demons fought an eternal war in the celestial realm, and great kings and emperors pitted their wits and armies against one another, a world of romance, intrigue, politics & deception.... [This is the larger version of this product, ideal as a gift or to treat yourself!] - Visit www.lostcitybooks.com for more information.
In Hebrews and the Temple Philip Church argues that the silence of Hebrews concerning the temple does not mean that the author is not interested in the temple. He writes to encourage his readers to abandon their preoccupation with it and to follow Jesus to their eschatological goal. Following extensive discussions of attitudes to the temple in the literature of Second Temple Judaism, Church turns to Hebrews and argues that the temple is presented there as a symbolic foreshadowing of the eschatological dwelling of God with his people. Now that the eschatological moment has arrived with the exaltation of Christ to the right hand of God, preoccupation with the temple and its rituals must cease.
An invaluable dip-in aid for hard-pressed lecturers and teachers in further and higher education. It should be read, enjoyed and seriously considered by all those concerned about the quality and appropriateness of their assessment methods.
MASTER DESTISTRY is designed as a revision guide for dental students and offers the "curriculum essentials" in an easy-to-digest format. Each section is fully illustrated throughout and is supported by extensive self-assessment questions which allow the reader to assess their own knowledge of the topic and perfect their exam techniques. Now in colour, this second edition addresses oral and maxillofacial surgery, radiology, pathology and oral medicine and is perfect for both undergraduate students and post-graduates preparing for the MFDS or international equivalents. Quick reference revision aid for dental students – ideal for exam preparation! Integrates specialist areas of knowledge to enhance skills in clinical problem solving Evidence-based approach enables understanding of the strength of the evidence supporting current practice Includes extensive self-testing material – short answers, essays, MCQs and EMQs – enabling students to assess their knowledge and perfect exam techniques Suitable for post-graduate students who will find the book useful for the MJDF or international equivalent New chapter on evidenced-based practice Extensive revisions to sections on surgical implantology and assessment of trauma Updated self-assessment material to reflect current exam formats Now published with colour!
Employing a unique case-based approach, Ham's Primary Care Geriatrics continues to be your comprehensive source of clinical solutions for this challenging population. This gerontology medical reference book features an interdisciplinary perspective that empowers you with team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults."Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real".Reviewed by: Dr Harry Brown, July 2014 Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need. Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout. Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter. Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.
This will help us customize your experience to showcase the most relevant content to your age group
Please select from below
Login
Not registered?
Sign up
Already registered?
Success – Your message will goes here
We'd love to hear from you!
Thank you for visiting our website. Would you like to provide feedback on how we could improve your experience?
This site does not use any third party cookies with one exception — it uses cookies from Google to deliver its services and to analyze traffic.Learn More.