The current state of medicine has witnessed the long-term adverse effects of certain medications, an increased rate of polypharmacy, and a cultural shift that emphasizes patient-centered practice. The term ?deprescribing? refers to the optimization of the pharmacological regimen by reducing or cessing medications that incur more risks than benefits. Many people consider stopping their psychiatric medications, but prescribers may not know how to do this in a collaborative, systematic way. Deprescribing in Psychiatry presents a framework for deprescribing to guide the prescriber-patient dyad through the process of deciding if and when to reduce psychiatric medication, how to go about doing it, and at the same time, acknowledge the inherent risks in such an endeavour. As the first book on the subject, Deprescribing in Psychiatry stands to serve as a definitive text in this burgeoning field and as a 'rallying call' to raise crucial and topical questions in psychiatric practice, promote innovation, and act as a resource on the current state-of-the-art care. It describes the ins and outs of how clinicians can work closely with their patients to consider whether or not to try decreasing medications. It also discusses the anticipated future research directions, considerations for the field, and emphasizes collaboration with the patient, transparency, and the acknowledgement of uncertainty in psychiatric practice.
Includes Forward by National Football League Commissioner, Roger Goodell Written by experts in the field, Emergency Management for Sport and Physical Activity is designed to educate non-Athletic Training majors on the ways in which to prevent sudden death during sport. Often these non-medical professionals are the first on the scene and must, at times, serve the vital role of first responder and immediately act on behalf of athletes’ lives. Due to the rigorous training and conditioning programs that are being undertaken by athletes, effective emergency management has become a growing concern. This text includes the recently published positioning statement released by the National Athletic Trainers Association (NATA), which address many of the important topics discussed throughout the book. It goes on to address the associations task force document on “Preventing Sudden Death During Conditioning Sessions.” Key Features: Web-based scenarios are included for each chapter Includes case studies, feature boxes, and emergency action plans First aid methods and techniques are included as an appendix Include position statements put forth by the National Athletic Trainers Association (NATA)
Preventing Sudden Death in Sport and Physical Activity, Second Edition examines the etiology, prevention, recognition, treatment, and return-to-play protocol of the common causes of sudden death in sport. Chapters are written by content area experts, offering a blend of clinical, scientific, and research expertise regarding each medical condition that is discussed.
While a luscious layer cake may exemplify the towering glory of southern baking, like everything about the American South, baking is far more complicated than it seems. Rebecca Sharpless here weaves a brilliant chronicle, vast in perspective and entertaining in detail, revealing how three global food traditions—Indigenous American, European, and African—collided with and merged in the economies, cultures, and foodways of the South to create what we know as the southern baking tradition. Recognizing that sentiments around southern baking run deep, Sharpless takes delight in deflating stereotypes as she delves into the surprising realities underlying the creation and consumption of baked goods. People who controlled the food supply in the South used baking to reinforce their power and make social distinctions. Who used white cornmeal and who used yellow, who put sugar in their cornbread and who did not had traditional meanings for southerners, as did the proportions of flour, fat, and liquid in biscuits. By the twentieth century, however, the popularity of convenience foods and mixes exploded in the region, as it did nationwide. Still, while some regional distinctions have waned, baking in the South continues to be a remarkable, and remarkably tasty, source of identity and entrepreneurship.
Market: Psychiatry Residents seeking certification in psychiatry (1,200 per year) Recertifying Psychiatrists (750 per year); recertification is required every ten years. Residents preparing for yearly in-service examinations (4,800 per year) Unique “flashcards in a book” format allows test-takers to quickly evaluate their knowledge of the content, and complements studying with a partner. The format complements other review material and works well in conjunction with larger course books
Explores the ideas and practices that have shaped organic farming and gardening in Australia from the interwar years to the present day. Also includes interviews with high profile organic gardeners such as Jackie French.
In the late 1800s, pioneers settled in the northeast Texas region of Cross Timbers known as Double Springs. In 1875, Isaac Roberts, a farmer who owned more than 600 acres, left a parcel of his land to A. G. Roberts, who then sold the right-of-way to the Texas and Pacific Railway for $25. A new town was formed, and in 1882, it was named Keller in honor of the railroad foreman who was instrumental in making the area a regular stop along the railroad. With the railroad bringing new visitors and residents, a post office was created in 1888, and new businesses started forming. The Works Progress Administration provided jobs for many Keller residents during the Great Depression, and the results of those projects shaped the way the city looks today. As of 2010, Old Town Keller was undergoing a new phase of revitalization while maintaining its connection to the hardy pioneers that once called Keller home.
′Thanks for the brilliance, wisdom and humour of Boden, Epstein and Kenway. I will buy this KIT for all of my students, as they leave graduate school and venture into university life on their own. The Academic′s Support Kit provides a virtual support group for young academics groping to find their way in the rapidly changing terrain of higher education. And there are some tips for those of us who have been around too long, as well′ -Michelle Fine, The City University of New York `Comprehensive and comprehendible information, alongside sensible, practical strategies and exercises, that I will be able to employ when developing my own academic career and to facilitate my staff development and peer mentoring work′ - Sandra Sinfield, London Metropolitan University `The Kit is excellent. And it is not just for academic starters either. This is a collection of books which every academic could refer to confident that she or he will benefit from the experiences shared, the perspectives offered and the advice given′ - Robert Morrell, University of KwaZulu-Natal `This is an eminently practical guide to getting ahead as a university academic employee′ - Clive Seale, Brunel University ′The ASK Box would be a useful addition to the bookshelves of any research group or teaching team with new and developing researchers. It would be helpful for any department wanting to support its members in the development of their careers. It would also be useful for any senior institutional manager (who may have been an academic themselves) as a reminder of what they as established academics may have forgotten - the complex. Competitive and increasingly tortuous process of becoming an academic.′ - Educate The Academic′s Support Kit is a unique resource that provides all the information, skills and guidance to support academic professional development. Written by a team of experienced and international authors, the Kit offers a wealth of references, techniques and practical advice in the following 6 books: - Building Your Academic Career This volume encourages you to take a proactive approach to getting what you want out of academic work whilst being a good colleague - Getting Started On Research In contrast to the many books available on techniques of data collection and analysis, this volume deals with the many other practical considerations around actually doing research - Writing for Publication This book deals with a number of generic issues around academic writing and considers writing refereed journal articles, books and book chapters in detail as well as other, less common, forms of publication for academics - Teaching and Supervision This volume is on presents explanations and possible strategies designed to make your teaching and supervision work less burdensome, more rewarding (for you and your students) and manageable. - Winning and Managing Research Funding The pressure to win funding to do research is felt by nearly all academics worldwide. This book details strategies that you might adopt to get your research projects funded, and manage your research projects once they are funded. - Building Networks Having good networks is key to achieving what you want in academia. This book describes the kinds of networks that you might build across a range of settings, talks about the pros and cons involved and gives practical guidance on networking activities. All 6 titles are also available to buy individually. This Kit will be an indispensable guide, for those starting out on an academic career, and those needing to make the next step up the ladder. It will also be welcomed as the complete resource for managers and staff development teams.
Disability is not just the physical, sensory or intellectual impairments a person has, but the exclusion from society they face as a result. Organisations for disabled people are a growing voice in challenging this exclusion and anti-discrimination legislation is helping to change the structures in society that have contributed to it. This book examines the discipline of psychology in this regard. It argues that psychology has tended to ignore the socio-cultural aspects of disability and treat disabled people as objects rather than arbiters of psychological intervention. Bringing together disabled and non-disabled researchers and psychologists, this book proposes ideas for an enabling psychological theory and practice, and addresses questions such as: -"How can we support the inclusion of disabled children?" - "Can therapy enable rather than pathologise?” - "What can be learnt from the experience of disabled psychologists?" "How can psychology contribute to social models of disability?” In examining these issues, this volume challenges the reader to reconsider the relationship between disability studies and psychology and to do so in ways that contribute to the emancipation - rather than the exclusion - of disabled people. A key text for students on relevant courses within disability studies and psychology degrees, this book is also an important resource for those who study or work in the areas of healthcare studies, nursing, sociology and social work. Dan Goodley is a Reader in disability studies, University of Sheffield, with research interests in disability theory, activism and methodology. Rebecca Lawthom is Principal Lecturer in psychology, Manchester Metropolitan University and a member of the Research Institute for Health and Social Change. Her research interests are in disability, community and feminist psychology.
THE LATEST THERAPEUTIC TREATMENT OPTIONS IN INTERNAL MEDICINE--AT YOUR FINGERTIPS This peer-reviewed guide highlights important therapeutic treatment options for the most common diseases managed by clinicians practicing internal medicine. SHORT BULLETED CONTENT for ease of use in a clinical setting ORGANIZED BY DISEASE STATE CLINICAL PEARLS to aid in disease management EMBEDDED REFERENCES to facilitate further research DRUG TABLES that include product availability, disease-specific dosing, common adverse reactions and drug/drug interactions SECTIONS INCLUDE: Cardiology, Pulmonary, Gastroenterology, Nephrology, Nutrition, Hematology and Oncology, Infectious Disease, Rheumatology, Psychiatry, Pain, and Transplant HELPFUL APPENDICES INCLUDE: Antidotes, Immunizations, Intrathecal Injections, Intravenous Immunoglobulin, Lab/Drug Interactions and Drug Abuse, Mechanical Ventilation, QT Prolongation, and Steroid Conversion Chart
Getting Started in Research is for people in the earlier stages of development as a researcher. In contrast to the many books available on techniques of data collection and analysis, this volume deals with the many other practical considerations around actually doing research - such as good ways to frame research questions, how to plan your research projects effectively and how to undertake the various necessary tasks.
Nursing Research and Evidenced-Based Practice offers a unique approach to learning about nursing research and in particular evidence-based nursing practice. It is ideal for nursing students and practicing nurses who need to understand the language of research and the significance of research to their practice, as well as integrate research and evidence-based practice into their own practices. This innovative text provides a step-by-step guide on how to develop evidence-based practice proposals for the real world, and focuses on analyzing all forms of evidence. with chapter objectives, tables
Comprehensive coverage, multidisciplinary guidance, and step-by-step instruction help you choose the best approach and get the best results for any facial rejuvenation challenge. Master Techniques in Facial Rejuvenation, 2nd Edition, by Drs. Babak Azizzadeh, Mark Murphy, Calvin Johnson, Guy Massry, and Rebecca Fitzgerald, presents multiple facial rejuvenation techniques by experts in the fields of plastic surgery, facial plastic surgery, otolaryngology, oculoplastic surgery and dermatology. Competing and complementary techniques focus on all areas of the face, providing a balanced and systematic approach to this fast-growing field. - Presents step-by-step, full-color depictions of the authors' surgical techniques, with emphasis on minimally invasive surgery, recent trends, and adjunctive procedures. - Addresses facial shape and proportions with injectable agents in youth and age. - Provides multiple viewpoints on advanced and time-tested techniques. - Features expanded coverage of non-invasive procedures such as Botulinum toxin and fillers, neuromodulators, tightening devices, and panfacial nonsurgical rejuvenation, plus newly updated information on face lifts. - Includes all-new chapters on non-surgical brow and eyelid rejuvenation, ptosis repair and blepharoplasty, deep plane rhytidectomy modifications, and orthognathic aesthetic facial surgery. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, Q&As, and references from the book on a variety of devices.
In the shadow of the Cold War, whispers from the cosmos fueled an unlikely alliance between the US and USSR. The search for extraterrestrial intelligence (or SETI) emerged as a foundational field of radio astronomy characterized by an unusual level of international collaboration—but SETI’s use of signals intelligence technology also served military and governmental purposes. In this captivating new history of the collaboration between American and Soviet radio astronomers as they sought to detect evidence of extraterrestrial civilizations, historian Rebecca Charbonneau reveals the triumphs and challenges they faced amidst a hostile political atmosphere. Shedding light on the untold stories from the Soviet side for the first time, she expertly unravels the complex web of military and political interests entangling radio astronomy and the search for alien intelligence, offering a thought-provoking perspective on the evolving relationship between science and power. This is not just a story of radio waves and telescopes; it's a revelation of how scientists on both sides of the Iron Curtain navigated the complexities of the Cold War, blurring the lines between espionage and the quest for cosmic community. Filled with tension, contradiction, and the enduring human desire for connection, this is a history that transcends national boundaries and reaches out to the cosmic unknown, ultimately asking: how can we communicate with extraterrestrials when we struggle to communicate amongst ourselves?
Dragons, giants, and the monsters of learned discourse are rarely encountered in the Sagas of Icelanders, and therefore, the general teratological focus on physical monstrosity yields only limited results when applied to them. This, however, does not equal an absence of monstrosity – it only means that monstrosity is conceived of differently. This book shifts the view of monstrosity from the physical to the social, accounting for the unique social circumstances presented in the Íslendingasögur and demonstrating how closely interwoven the social and the monstrous are in this genre. Employing literary and cultural theory as well as anthropological and historical approaches, it reads the monsters of the Íslendingasögur in their literary and socio-cultural context, demonstrating that they are not distractions from feud and conflict, but that they are in fact an intrinsic part of the genre’s re-imagining of the past for the needs of the present.
Why can't we solve our problems anymore? Why do threats such as the Gulf oil spill, worldwide recession, terrorism, and global warming suddenly seem unstoppable? Are there limits to the kinds of problems humans can solve? Rebecca Costa confronts- and offers a solution to-these questions in her highly anticipated and game-changing book, The Watchman's Rattle. Costa pulls headline for today's news to demonstrate how accelerating complexity quickly outpaces that rate at which the human brain can develop new capabilities. With compelling evidenced based on research in the rise and fall of Mayan, Khmer, and Roman empires, Costa shows how t ht tendency to find a quick solutions- leads to frightening long term consequence: Society's ability to solve its most challenging, intractable problems becomes gridlocked, progress slows, and collapse ensues. A provocative new voice in the tradition of thought leaders Thomas Friedman, Jared Diamond and Malcolm Gladwell, Costa reveals how we can reverse the downward spiral. Part history, part social science, part biology, The Watchman's Rattle is sure to provoke, engage and incite change.
Written in a clear, accessible, and lively style, Souvenirs of the Old South will be the foundational work for subsequent scholars and readers interested in tourism in the New South."--W. Fitzhugh Brundage, author of The Southern Past: A Clash of Race and Memory "This study of southern images offers readers a glimpse of how history, culture, race, and class came together in the tourist imagination. If the South emerged from the Civil War a distinctive place, Rebecca McIntyre would remind us that’s because distinctiveness sells."--Richard Starnes, author of Creating the Land of the Sky: Tourism and Society in Western North Carolina Less than a decade after the conclusion of the Civil War, northern promoters began pushing images of a mythic South to boost tourism. By creating a hierarchical relationship based on region and race in which northerners were always superior, promoters saw tourist dollars begin flowing southward, but this cultural construction was damaging to southerners, particularly African Americans. Rebecca McIntyre focuses on the years between 1870 and 1920, a period framed by the war and the growth of automobile tourism. These years were critical in the creation of the South’s modern identity, and she reveals that tourism images created by northerners for northerners had as much effect on making the South "southern" as did the most ardent proponents of the Lost Cause. She also demonstrates how northern tourism contributed to the worsening of race relations in the late nineteenth and early twentieth centuries.
How can you tell whether a number is prime? What if the number has hundreds or thousands of digits? This question may seem abstract or irrelevant, but in fact, primality tests are performed every time we make a secure online transaction. In 2002, Agrawal, Kayal, and Saxena answered a long-standing open question in this context by presenting a deterministic test (the AKS algorithm) with polynomial running time that checks whether a number is prime or not. What is more, their methods are essentially elementary, providing us with a unique opportunity to give a complete explanation of a current mathematical breakthrough to a wide audience. Rempe-Gillen and Waldecker introduce the aspects of number theory, algorithm theory, and cryptography that are relevant for the AKS algorithm and explain in detail why and how this test works. This book is specifically designed to make the reader familiar with the background that is necessary to appreciate the AKS algorithm and begins at a level that is suitable for secondary school students, teachers, and interested amateurs. Throughout the book, the reader becomes involved in the topic by means of numerous exercises.
Law and Society in England 1750–1950 is an indispensable text for those wishing to study English legal history and to understand the foundations of the modern British state. In this new updated edition the authors explore the complex relationship between legal and social change. They consider the ways in which those in power themselves imagined and initiated reform and the ways in which they were obliged to respond to demands for change from outside the legal and political classes. What emerges is a lively and critical account of the evolution of modern rights and expectations, and an engaging study of the formation of contemporary social, administrative and legal institutions and ideas, and the road that was travelled to create them. The book is divided into eight chapters: Institutions and Ideas; Land; Commerce and Industry; Labour Relations; The Family; Poverty and Education; Accidents; and Crime. This extensively referenced analysis of modern social and legal history will be invaluable to students and teachers of English law, political science, and social history.
Drawing on centuries of wisdom from the Christian ethical tradition, this book takes readers on a journey of self-examination, exploring why our hearts are captivated by glittery but false substitutes for true human goodness and happiness. The first edition sold 35,000 copies and was a C. S. Lewis Book Prize award winner. Now updated and revised throughout, the second edition includes a new chapter on grace and growth through the spiritual disciplines. Questions for discussion and study are included at the end of each chapter.
Between the seventh and eleventh centuries, Christian worship on the Iberian Peninsula was structured by rituals of great theological and musical richness, known as the Old Hispanic (or Mozarabic) rite. Much of this liturgy was produced during a seventh-century cultural and educational program aimed at creating a society unified in the Nicene faith, built on twin pillars of church and kingdom. Led by Isidore of Seville and subsequent generations of bishops, this cultural renewal effort began with a project of clerical education, facilitated through a distinctive culture of textual production. Rebecca Maloy's Songs of Sacrifice argues that liturgical music--both texts and melodies--played a central role in the cultural renewal of early Medieval Iberia, with a chant repertory that was carefully designed to promote the goals of this cultural renewal. Through extensive reworking of the Old Testament, the creators of the chant texts fashioned scripture in ways designed to teach biblical exegesis, linking both to patristic traditions--distilled through the works of Isidore of Seville and other Iberian bishops--and to Visigothic anti-Jewish discourse. Through musical rhetoric, the melodies shaped the delivery of the texts to underline these messages. In these ways, the chants worked toward the formation of individual Christian souls and a communal Nicene identity. Examining the crucial influence of these chants, Songs of Sacrifice addresses a plethora of long-debated issues in musicology, history, and liturgical studies, and reveals the potential for Old Hispanic chant to shed light on fundamental questions about how early chant repertories were formed, why their creators selected particular passages of scripture, and why they set them to certain kinds of music.
Communities around the United States face the threat of being underwater. This is not only a matter of rising waters reaching the doorstep. It is also the threat of being financially underwater, owning assets worth less than the money borrowed to obtain them. Many areas around the country may become economically uninhabitable before they become physically unlivable. In Underwater, Rebecca Elliott explores how families, communities, and governments confront problems of loss as the climate changes. She offers the first in-depth account of the politics and social effects of the U.S. National Flood Insurance Program (NFIP), which provides flood insurance protection for virtually all homes and small businesses that require it. In doing so, the NFIP turns the risk of flooding into an immediate economic reality, shaping who lives on the waterfront, on what terms, and at what cost. Drawing on archival, interview, ethnographic, and other documentary data, Elliott follows controversies over the NFIP from its establishment in the 1960s to the present, from local backlash over flood maps to Congressional debates over insurance reform. Though flood insurance is often portrayed as a rational solution for managing risk, it has ignited recurring fights over what is fair and valuable, what needs protecting and what should be let go, who deserves assistance and on what terms, and whose expectations of future losses are used to govern the present. An incisive and comprehensive consideration of the fundamental dilemmas of moral economy underlying insurance, Underwater sheds new light on how Americans cope with loss as the water rises.
Millions of pounds of international development funds are invested annually in social protection programmes to tackle poverty. Poverty is perpetuated by risk and vulnerability, much of which is gendered. Despite this, little attention has been paid to gender-sensitive policy and programme design and implementation. Gender and Social Protection in the Developing World introduces a much-needed gender lens to these debates. Drawing on empirical evidence from poor households and communities in Africa, Asia and Latin America, the book provides rich insight into the effects of a range of social protection instruments. It concludes that with relatively simple changes to design and with investment in implementation capacity, social protection can contribute to transforming gender relations at the individual, intrahousehold and community levels. With a foreword by Stephen Devereux.
The original inhabitants called Temecula the place of origins, the place of sand and sun. From the beginnings of the Native American village to the introduction of the railroad that made it into a Western town in 1882, Old Town Temecula captivates visitors and residents with its rustic charm. Cattlemen and cowboys frequented the saloons, and Hollywoods elite found liquor flowing during Prohibition in Old Town establishments where legendary stories of high times and crimes are retold today. After World War II, Old Town was at a crossroads, and residents and travelers dined in roadside cafs along historic Highway 395. In 1977, after nearly losing its Old West flair, several visionary businessmen decided to promote Old Town Temeculas historic past by recreating an 1890s Western architectural motif for Old Town. Now a tourist destination for antiquing, dining, and viewing vintage cars, Old Town has something of interest for everyone.
An authoritative, one-stop source of answers on conditions commonly encountered among older adults For more than 70 years, professors, students, and clinicians have trusted LANGE for high-quality, current, concise medical information in a convenient, affordable, portable format. Whether for coursework, clerkships, USMLE prep, specialty board review, or patient care, there's a LANGE book that guarantees success. Provides a framework for using the functional and cognitive status, prognosis, and social context of patients to guide diagnosis and treatment of medical conditions Applies the principles of geriatric medicine in different care settings to address common clinical scenarios and common geriatric conditions Includes valuable information on health promotion and disease Delivers essential information on important topics such as delirium, cognitive impairment, dementia, falls and mobility disorders, Parkinson and other movement disorders, sleep disorders, and arthritis Covers special geriatric considerations in cardiovascular health, cancers, endocrine disorders, skin problems, respiratory disease, and renal disorders Concise, practical, and current diagnostic and treatment information on the most common health problems of older adults The best quick reference for busy clinicians who provide care for older patients Valuable to students, residents, nurses, nurse practitioners, physician assistants, internists, and family physicians. Includes guidance on care in all settings – clinic, home, hospital, and long-term care, as well as pre- and post-operative settings
The current state of medicine has witnessed the long-term adverse effects of certain medications, an increased rate of polypharmacy, and a cultural shift that emphasizes patient-centered practice. The term ?deprescribing? refers to the optimization of the pharmacological regimen by reducing or cessing medications that incur more risks than benefits. Many people consider stopping their psychiatric medications, but prescribers may not know how to do this in a collaborative, systematic way. Deprescribing in Psychiatry presents a framework for deprescribing to guide the prescriber-patient dyad through the process of deciding if and when to reduce psychiatric medication, how to go about doing it, and at the same time, acknowledge the inherent risks in such an endeavour. As the first book on the subject, Deprescribing in Psychiatry stands to serve as a definitive text in this burgeoning field and as a 'rallying call' to raise crucial and topical questions in psychiatric practice, promote innovation, and act as a resource on the current state-of-the-art care. It describes the ins and outs of how clinicians can work closely with their patients to consider whether or not to try decreasing medications. It also discusses the anticipated future research directions, considerations for the field, and emphasizes collaboration with the patient, transparency, and the acknowledgement of uncertainty in psychiatric practice.
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