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.
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.
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.
What is science? What is the purpose of science education? Should we be training scientists, or looking towards a greater public understanding of science? In this exciting text, some of the key figures in the fields of science and science education address this debate. Their contributions form an original dialogue on science education and the gener
NFL Brawler is a raucous first-person account of an NFL under siege by the game’s first player-turned-agent, Ralph Cindrich, the original “Blind Side” agent whose entertaining pro football memoir takes readers behind the scenes of the game’s most important and outrageous drafts, deals, and trades; takes on NFL scandals by tellin’ it like it is; and takes readers closer to the real action of the sport—from locker rooms to boardrooms, and into the worlds of agents and players—than any book to date. Chronicling more than thirty years in the professional football business—on the field and in the locker room; in high-stakes negotiations with coaches, GMs, and owners; and inside agents’ and players’ personal lives—Cindrich, twice named by The Sporting News as one of the 100 most powerful people in sports, writes about a who’s who of professional football: NFL coaches like Bill Parcells, Jimmy Johnson, Mike Ditka, Sid Gillman, and Bill Belichick; NFL owners like Art Rooney and Al Davis to Jerry Jones and others; other sports agents; and the NFL talking heads from John Madden to Keyshawn Johnson. While taking certain aspects of his beloved sport to task, Cindrich’s memoir is entertaining—blowing out of the water Jerry Maguire, Arli$$, and other portrayals of an agent’s life.
An entertaining, informative and thoughtful mass media text that keeps students engaged." —Charles W. Little Jr., Santa Ana College Transform your students into smart, savvy media consumers. A book that students find fun to read and instructors consider educationally valuable, Mass Communication: Living in a Media World provides the media literacy principles and critical thinking skills that students need to become self-aware media consumers. Known for his storytelling approach, bestselling author Ralph E. Hanson uses examples drawn from everyday life to explain the many dimensions of mass media that operate in our society. This newly revised Seventh Edition is packed with contemporary examples and compelling stories that illustrate the latest developments and recent events that are changing the face of media today. A Complete Teaching & Learning Package SAGE Premium Video Included in the interactive eBook! SAGE Premium Video tools and resources boost comprehension and bolster analysis. Preview a video now. Interactive eBook Includes access to SAGE Premium Video, multimedia tools, and much more! Save when you bundle the interactive eBook with the new edition. Order using bundle ISBN: 978-1-5443-5323-4. Learn more. SAGE coursepacks FREE! Easily import our quality instructor and student resource content into your school’s learning management system (LMS) and save time. Learn more. SAGE edge FREE online resources for students that make learning easier. See how your students benefit. SAGE lecture spark Spark lively classroom discussion around current events. Learn more about free lecture launchers. Author blog Get the latest industry news, tips for teaching the Mass Communication course, sample exercises, and more. Learn more at www.ralphehanson.com Check out the VIP site now!
The Christian Tradition, formerly published by Pearson/Prentice Hall, introduces students at the beginning of the third millennium to a religion that has evolved over and shaped two previous millennia. With particular focus placed on the social and cultural background to this tradition, the text provides a stimulating survey of the history of Christianity from its Jewish roots to the challenges it faces in the twenty-first century. This innovative text weaves a consideration of the arts, spirituality, religious life and practice—especially among the laity, women, and others outside the dominant institutional tradition—into its rich historical narrative, and offers a comprehensive and diverse view of the course of Christian history
International political economy (IPE) is a highly complex discipline, drawing not only from the fields of politics and economics, but also those as varied as philosophy, history and anthropology. Now widely accepted as a key dimension to contemporary world affairs, it is no longer possible to talk about international relations without talking about production and distribution, finance and investment, as well as consumption and trade. To ensure that our understanding of these topics is relevant to today''s world, there is a constant need to revisit and challenge what is known about these topics. Besides being a comprehensive account of international political economy for academic study, this extensive collection also highlights salient issues that scholars, analysts and state leaders are most concerned with in today''s world. Amongst these are issues concerning the rise of China and India as new economic superpowers, stability in the EU''s political economy, the viability of the existing multilateral system of global trade, recent financial crises, as well as the impact of globalisation and marketisation on the world''s workers and our physical environment. With contributions from prominent academics such as Susan K Sell (George Washington University, D.C.) and Geoffrey Blainey (Professor Emeritus, University of Melbourne), this volume makes for both a stimulating and thought-provoking read.
We present cross-country evidence on the impact of remittances on labor market outcomes. Remittances appear to have a strong impact on both labor supply and labor demand in recipient countries. These effects are highly significant and greater in size than those of foreign direct investment or offcial development aid. On the supply side, remittances reduce labor force participation and increase informality of the labor market. In addition, male and female labor supply show significantly different sensitivities to remittances. On the demand side, remittances reduce overall unemployment but benefit mostly lower-wage, lowerproductivity nontradables industries at the expense of high-productivity, high-wage tradables sectors. As a consequence, even though inequality declines as a result of larger remittances, average wage and productivity growth declines, the latter more strongly than the former leading to an increase in the labor income share. In fragile states, in contrast, remittances impose a positive externality, possibly because the tradables sector tends to be underdeveloped. Our findings indicate that reforms to foster inclusive growth need to take into account the role of remittances in order to be successful.
Our language is full of hundreds of quotations that are often cited but seldom confirmed. Ralph Keyes's The Quote Verifier considers not only classic misquotes such as "Nice guys finish last," and "Play it again, Sam," but more surprising ones such as "Ain't I a woman?" and "Golf is a good walk spoiled," as well as the origins of popular sayings such as "The opera ain't over till the fat lady sings," "No one washes a rented car," and "Make my day." Keyes's in-depth research routinely confounds widespread assumptions about who said what, where, and when. Organized in easy-to-access dictionary form, The Quote Verifier also contains special sections highlighting commonly misquoted people and genres, such as Yogi Berra and Oscar Wilde, famous last words, and misremembered movie lines. An invaluable resource for not just those with a professional need to quote accurately, but anyone at all who is interested in the roots of words and phrases, The Quote Verifier is not only a fascinating piece of literary sleuthing, but also a great read.
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