Best known for his almost single-handed rescue of the trumpeter swans from extinction in North America, Ralph Edwards relates other aspects of his long, varied life.
In 2012 we received a grant from the Veterans Health Administration Office of Specialty Care entitled, “Patient-Centered Model for the Management of Chronic Obstructive Pulmonary Disease.” The grant’s goals were to enhance the recognition and diagnosis of COPD and implement a Patient-Centered Model for the Management of COPD. As the work on that proposal progressed, we realized that providers did not have an up-to-date, comprehensive, easily read, “how to” manual for the management of COPD despite all the advances in COPD care that have occurred over the past 5 years. Consensus documents such as the VA-DOD Guidelines were abbreviated summaries that were rarely used. From those discussions, the concept for this volume, a COPD Primer, developed. The goal was to develop a practical book that concisely presented COPD to providers with sufficient background and explanation of the physiologic and scientific rationale for various management strategies without becoming an esoteric academic work. We hope that this COPD Primer has achieved that goal and will be a useful, practical text for practitioners and medical trainees alike. The COPD Primer begins with an examination of what COPD is; it is really a syndrome, a constellation of historical features and clinical, physiologic, and radiographic findings. However, those elements come together in many different ways to create multiple different COPD phenotypes that are only now being recognized and used to define specific management strategies. COPD research has progressed beyond the simple classification of “blue bloaters” and “pink puffers.” Next, the epidemiology and economic consequences of COPD are reviewed. Bill Eschenbacher presents an approach to the patient with respiratory symptoms with detailed discussions of pulmonary function testing and how airflow limitation/obstruction is identified by spirometry and the use of lung imaging to identify individuals with COPD. Michael Borchers and Gregory Motz summarize current evidence implicating genetics, proteolytic imbalance, oxidative stress, inflammation, occupational and environmental exposures, and innate and adaptive immune function in the pathogenesis of COPD and the implication of these findings to future treatments. The single most important intervention in the prevention and treatment of COPD is smoking cessation. Shari Altum, Katherine Butler, and Rachel Juran present a practical approach to smoking cessation utilizing motivational interviewing in combination with pharmacologic interventions. Then, they expand upon these concepts to provide practitioners with convenient, realistic suggestions to encourage patient self-management in all aspects of COPD care and overall health. Ahsan Zafar reviews the natural history, recently described COPD phenotypes, and gender differences that clearly illustrate the broad spectrum of disease that comprises the term, COPD. The cover illustration highlights Dr. Zafar’s creative and artistic talents. The extensive nonpulmonary aspects of COPD are reviewed by Ralph Panos in an examination of COPD’s multi-organ manifestations. Next, the effect of COPD on sleep and the overlap syndrome, the concurrence of COPD and obstructive sleep apnea, and its consequences are presented. Jean Elwing examines the effect of COPD on the pulmonary vasculature with a detailed discussion of the evaluation and management of pulmonary hypertension associated with COPD. COPD’s effects on psychosocial functioning and familial interactions are presented by Mary Panos and Ralph Panos. The focus of the Primer then shifts from manifestations to treatment with a discussion of stable COPD management. With the current plethora of devices for delivering respiratory medications, it is difficult for both patients and providers to sustain knowledge of their proper use. Aaron Mulhall presents a practical guide to correct inhaler use that reviews all the current devices. Folarin Sogbetun then reviews the management of outpatient COPD exacerbations and Nishant Gupta discusses the approach to the patient hospitalized with COPD. Because patients with COPD often see multiple subspecialty physicians in addition to their primary care providers, interdisciplinary communication and coordination of care is essential for their management; Sara Krzywkowski-Mohn reviews the interactions between primary and specialty care for the patient with COPD with suggestions for improved communication and care coordination. Finally, advance care planning including palliative care and hospice is reviewed with a discussion of how end stage COPD affects not only the patient but also their family and social network. This COPD Primer incorporates the knowledge that we have learned over the past several years during the development and implementation of a patient-centered model for the management of COPD. It was written with the explicit goal of assisting both the practicing provider and medical trainee in the care of patients with COPD.
Normal human development progresses through a process of differentiation and integration, and it is distorted and impeded by the fusion and fragmentation resulting from traumatic experiences. The Impact of Complex Trauma on Development documents the pathological consequences of chronic interpersonal trauma on psychological development, behavior, and interpersonal relationships. It provides an integrative approach to therapy that is based on a rich psychoanalytically-oriented developmental psychology.
In general approach and content, this book resembles Alex Haley's best-selling novel, Roots, except that this work contains no fiction. It chronicles thirty generations and a thousand years of Sanders (and Saunders) family evolution beginning before England's earliest days and ending across the Atlantic in colonial Virginia and eventually frontier and later Kentucky. Family figures are portrayed in their own distinctive historical contexts and an extensive genealogy focused on old world lineage is appended. Nearly a thousand chapter notes on sources and names are furnished to assist readers interested in discovering their own ancestry.
This comprehensive textbook and atlas provides detailed guidance on the performance and interpretation of colposcopy, with a particular focus on the diagnosis of precancerous cervical, vulvar, and vaginal lesions. The book not only describes the role of colposcopy in state of the art cervical cancer screening and triage but also covers the prevention, diagnosis, and management of cervical cancer in low-resource settings, where the vast majority of cases occur worldwide. The indications for colposcopy are clearly identified, and its use is described in a variety of specific circumstances, including during pregnancy, following surgical interventions and radiation treatment, and in the immunocompromised patient. The book will be of value for gynecologists and gynecologic oncologists, general practitioners, and family practice doctors; furthermore, physician assistants, nurses, and midwives will find it very useful for training and as a source of reference, regardless of whether they are working within an established screening program based on cytopathology and/or HPV testing or within a low-resource environment applying visual inspection as the primary screening strategy.
This book considers the issue of exchange rate policymaking from a political economy perspective. It illustrates both theoretically and empirically how domestic political and institutional incentives shape exchange rate policies in developing countries. Empirical analysis is based on a panel survey of 47 countries and thereby provides insights on how political and institutional conditions typically affect exchange rate policy.
Here it is: the 1991 edition of America's most popular antiques price guide. This perennial best seller boasts the most accurate, up-to-date prices for almost every category of antique & collectible, as well as a special report on "Healthy Antiques: A Guide to Use & Care." Five hundred black-and-white & full-color photographs, 800 information-packed pages, and more than 50,000 American market prices provide the most complete picture of antiques & collectibles in hundreds of categories. Updated yearly, the Kovel's Price List always contains prices based on actual reports from the field, not estimates of the most recent season. The book has hundreds of factory marks and identifying logos; helpful hints on buying, collecting, restoring, & preserving; & a thorough, cross-referenced index. It is an indispensible resource for collectors seeking accurate, reliable information--from the source! In addition to being the authors of more than 50 books, Ralph & Terry Kovel have a nationally syndicated newspaper column and a monthly column in House Beautiful. They are also the hosts of a weekly cable television program on the Discovery Channel.
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.