Take the best possible care of adult critical care patients with Critical Care Medicine: Principles of Diagnosis and Management in the Adult! Editors Dr. Joseph Parrillo and Dr. Phillip Dellinger, two of the most respected names in critical care medicine, combine their extensive knowledge with that of hundreds of top authorities in the field to bring you expert, state-of-the-art answers to any clinical question you may face in the intensive care unit. Offer your adult critical care patients the most effective care with practical, evidence-based guidance from many of the most trusted experts in critical care medicine. Learn from the best ICU specialists worldwide with contributions from an increased number of international authorities. Effectively manage common complications in the ICU with updated coverage of severe sepsis, septic shock, surgical infections, neurogenic and anaphylactic shock, severe heart failure, acute coronary syndromes, and Acute Respiratory Distress Syndrome. Access the complete contents online at Expert Consult, along with an image bank and instructional videos!
Acute Care Surgery is a comprehensive textbook covering the related fields of trauma, critical care, and emergency general surgery. The full spectrum of Acute Care Surgery is expertly addressed, with each chapter highlighting cutting-edge advances in the field and underscoring state-of-the-art management paradigms. In an effort to create the most definitive reference on Acute Care Surgery, an evidence-based approach is emphasized for all content included. Also, notable controversies are discussed in detail often accompanied by data-driven resolutions.
In Their Own Words invites you to become “doctor for a day” and see medical practice from the physicians’ perspective. Drawing on one of the largest physician surveys ever undertaken, “In Their Own Words” offers insights from hundreds of doctors, who reveal in candid comments exactly how they feel about being physicians and why it matters to patients. Read why: Close to half of all doctors plan to opt out of medical practice in the next one to three years, or reduce the number of patients they see. Many physicians are compelled to close their practices to Medicare and other patients. Health reform could reduce access to physicians. Most physicians would not recommend medicine as a career. Many physicians say they are strained to the breaking point. A wake up call for policy makers and the public, “In Their Own Words” reveals why what doctors think about the practice of medicine matters to anyone who cares about the quality and availability of healthcare in America today. If you have ever been a patient or are ever likely to be one, read In Their Own Words.
The Postal Accountability and Enhancement Act of 2006 required an evaluation of strategies and options for reforms of the U.S. Postal Service (USPS). USPS¿s business model is to fulfill its mission through self-supporting, businesslike operations; however, USPS has experienced increasing difficulties. Due to volume declines, losses, a cash shortage, and rising debt, the USPS was added to a high-risk list in July 2009. The objectives of this report were to assess: (1) the viability of USPS¿s business model; (2) strategies and options to address challenges to its business model; and (3) actions Congress and USPS need to take to facilitate progress toward financial viability. Includes recommendations. Charts and tables.
The U.S. Postal Service's (USPS) financial condition and outlook deteriorated significantly during FY 2009. USPS was not able to cut costs fast enough to offset declining mail vol. and revenues resulting from the economic downturn and changing mail use. USPS would not be able to make the $5.4 billion payment to prefund postal retiree health benefits that was due by the end of the year. This testimony: (1) updates USPS's financial condition and outlook; (2) describes changes made by the Postal Account. and Enhancement Act of 2006 that provided USPS with greater flexibility to generate revenues; (3) outlines USPS's revenue-generation actions and results using this flexibility; and (4) discusses options to generate increased revenues in the future.
Reports have been issued on the USPS strategy for realigning its mail processing network and improving delivery performance info. These reports recommended that the USPS: (1) strengthen planning and the overall integration of its realignment efforts, and enhance accountability by establishing measurable targets and evaluating results; (2) improve delivery service standards and performance measures; and (3) improve communication with stakeholders by improving public notice, engagement, and transparency. This testimony discusses USPS¿s actions toward: (1) strengthening network realignment planning and accountability; (2) improving delivery performance info.; and (3) improving communication with stakeholders. Charts and tables.
Here’s the most clinically oriented critical care text focusing on the adult patient. In full-color and superbly illustrated with clinical photographs, imaging studies, and management algorithms, and with a broad multidisciplinary focus, this text will help you enhance your skills at any level of training. Stands alone as a clinically oriented comprehensive reference. Completely updated and authorship expanded to reflect the evolution in critical care practice. In color for the first time, with new color schematics and treatment algorithms for greater ease of reference. Utilizes key points lists at the end of chapter, to help you make decisions rapidly and easily. Delivers key references that list other useful resources for information. Includes these seven new chapters to keep you on the cutting edge of your specialty: Assessment of Cardiac Filling and Blood Flow Mechanical Ventilation of Obstructive Airways Disease Mechanical Ventilation of Acute Respiratory Distress Syndrome Severe Sepsis and Multiple Organ Dysfunction Stroke Delirium, Psychosis, Sleep and Depression in the ICU ICU Education
Have you ever sought professional help for an emotional problem and were shocked to find yourself diagnosed as mentally ill? Are you being pressured to take psychiatric medications by a doctor who barely listens to you? If you are one of the millions of consumers of professional mental healthcare in America today, the answer to both questions is most likely yesand its just as likely the treatment isnt working. In Psychiatryland, Dr. Phillip Sinaikin teaches you why mental healthcare in America has come to be totally dominated by the so-called medical model of mental illness and how this can be dangerous to both your mental and physical health. Geared toward consumers, Sinaikin shows that psychiatry as it is practiced today is not a progressive medical science, but rather a multibillion-dollar business, run for profit by pharmaceutical companies, the insurance industry, and mainstream psychiatry. Dr. Sinaikin provides the tools to empower you and to help you learn how to take personal control of your mental healthcare and begin to make well-informed and rational decisions about the emotional well-being of yourself and the people you love.
This book gives the testimonies of many who have been raised from the dead in recent times, encourages the believer to step out in faith, and provides many biblical and historical examples of people who have been raised from the dead. Practical and spiritual guidelines for this supernatural ministry are presented as well.
Laughter in Interaction is an illuminating and lively account of how and why people laugh during conversation. Bringing together twenty-five years of research on the sequential organisation of laughter in everyday talk, Glenn analyses recordings and transcripts to show the finely detailed co-ordination of human laughter. He demonstrates that its production and placement, relative to talk and other activities, reveal much about its emergent meaning and accomplishments. The book shows how the participants in a conversation move from a single laugh to laughing together, how the matter of 'who laughs first' implicates orientation to social activities and how interactants work out whether laughs are more affiliative or hostile. The final chapter examines the contribution of laughter to sequences of conversational intimacy and play and to the invocation of gender. Engaging and original, the book shows how this seemingly insignificant part of human communication turns out to play a highly significant role in how people display, respond to and revise identities and relationships.
This alternative edition of Eggers' popular worktext features an appealing collection of thematically organized multicultural readings to enrich students' experiences and enhance the link between reading and writing.
In Dec. 2006, the USPS had just completed FY 2006 with its largest mail volume ever -- 213 billion pieces of mail and a net income of $900 million. Two years later, USPS's mail volume dropped almost 5% -- the largest single-year decline. USPS was facing a potential net loss of over $1 billion for FY 2008. USPS anticipated continued deterioration due to the econ. slowdown, as the financial, credit, and housing sectors are among its key bus. drivers. The shifts in transactions and messages from mail to electronic commun. and from advertising mail to electronic media have affected the USPS's financial situation. This testimony focuses on: (1) USPS's financial condition and outlook; and (2) options and actions for USPS to remain financially viable. Illus.
Both comprehensive and accessible, this is an ideal resource for anyone who plans to teach or practice integrated, cost-effective healthcare in the 21st century. Currently, there is no coordinated system for training health-profession students to address the needs of patients with complex illnesses, nor is there a coordinated system for effectively delivering care to these patients. This book explores both sides of the problem, bringing interprofessional practice and education together to show how they are complementary—and how they can be integrated to provide better care. In many respects, this book is a personal account of the authors' experience with interprofessional teamwork and education over the past 40 years. It discusses what works and what doesn't and includes interviews, examples, and case studies that illustrate the perspectives of healthcare professionals, patients, and caregivers. This second edition illuminates ways in which today's business model has changed interprofessional healthcare team practice and education, and it examines the needs of patients relative to healthcare teams and practitioner education. An entire chapter is devoted to the patient's position as both teacher and learner in relation to the team. The theoretical foundations of practice and education are highlighted, but the book also shares models that can be used for the practical development of programs.
Older adults caring for developmentally disabled children have special needs. Are you and your agency doing all you can to help? Grandparents as Carers of Children with Disabilities: Facing the Challenges provides the first comprehensive picture of grandparents caring for children with developmental disabilities and their related requirements. Here you'll find information on the mental and physical health of these caregivers, highlighting their unique needs and the roles that agencies and advocates need to play in order to meet them. This unique volume will assist practitioners, administrators, and policymakers in including the needs of this group into planning and service delivery efforts. Grandparents as Carers of Children with Disabilities: Facing the Challenges takes an incisive look at: characteristics of these carers and the children they care for children in kinship care and their special needs the effect of kinship foster care on caregiving grandmothers the approach of Latino grandparents to bringing up children with special needs the service needs and provision issues of grandparent carers In this book, here is some of what you'll find: data from a school-based comprehensive multigenerational program in East Harlem, New York City, which explores environmental stressors associated with children coming into kinship care, discussing the impact on grandparent caregivers, with a focus on health status and access to care correlates of self-reported depressive symptoms among urban Latino grandparent caregivers a survey of grandparents (mostly African American, mostly female) caring for children with developmental disabilities in New York City that focuses on health status, emotional state, use of formal and informal services, and general life situation helpful charts and tables that put the facts at your fingertips a demonstration project that used an intervention model to determine how a three-pronged approach using outreach, support groups, and case management could be used to aid grandparents caring for children with developmental delay or disabilities ... and much more! As editors McCallion and Janicki point out, ”Primary childcare is rapidly becoming a normative experience of grandparenting. Grandparent primary care is found among all ethnic groups, and across all socioeconomic levels of society. Concern over preserving the family often causes grandparents to assume responsibility in spite of their limited financial means or own health conditions.” Grandparents as Carers of Children with Disabilities will enable you to provide these courageous, loving people with the help they need to do this extraordinarily difficult and often thankless job.
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. Concise, evidence based, and packed with quick-reference features, Emergency Medicine: The Inside Edge is your go-to source for fast, accurate decision making in emergency situations. It provides vital information on 81 frequently seen conditions –right in the pocket of your scrubs.
USPS's financial condition has deteriorated. Mail volume declined by a record 9.5 billion pieces (4.5%) in FY 2008, leading to a loss of $2.8 billion -- the second largest since 1971. This was largely due to declines in the economy, esp. in the financial and housing sectors, as well as shifts in transactions, messages, and advertising from mail to electronic alternatives. Declining mail volume flattened revenues despite rate increases, while USPS's cost-cutting efforts were insufficient to offset the impact of declining mail volume and rising costs in fuel and cost-of-living allowances for postal employees. This testimony focuses on: (1) USPS's financial condition and outlook; and (2) options for USPS to remain financially viable in the short and long term. Illus.
The recession accelerated declines in mail volume in FY 2008 and flattened revenues despite postal rate increases. That year, mail volume fell by 9.5 billion pieces, or 4.5%, and resulted in a net loss of $2.8 billion. USPS's financial condition has continued to deteriorate in the first 5 months of FY 2009, with accelerating declines in mail volume and financial losses. This testimony updates that info. and focuses on: (1) how USPS's financial viability is challenged given current economic conditions and whether USPS can cover its expenses and financial obligations; (2) USPS's opportunities to rightsize its retail and mail processing networks; and (3) what options and trade-offs need to be considered to address mail volume and revenue declines. Illus.
Traces the events leading up to a radiation emergency in the United States when radioactive material from an X-Ray unit was mistakenly sold for scrap metal. Follows the clean up operation and includes technical information on radioactivity and its effect on humans. Suggested level: secondary.
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.