Resolving to expedite the recovery process, this DVD and reference set supplies a comprehensive multimodal approach to intraoperative regional anesthesia and postoperative analgesia in patients undergoing major lower extremity orthopedic surgery-spanning the entire selection of regional anesthesia equipment, strategies in pain management, and pract
In the years following the 1960s, Beatles fans around the world were twice-stunned: in 1970, when their beloved group disbanded, and ten years later when the murder of John Lennon ended a decade of hope that somehow the Fab Four would reunite. Between those milestones were astounding highs and unfathomable lows. George Harrison's 1971 benefit for the suffering of Bangladesh showed the world the possibilities of rock's altruism, while Lennon asked the world to 'imagine' universal peace before sitting out half the decade to raise his son. Ringo Starr, the most overlooked Beatle, carved himself a surprising niche in film before launching a string of hit singles. And Paul McCartney, widely seen as the instigator of the breakup, became one of rock's most beloved performers, racking up record-breaking smashes that climaxed with a triumphant world tour in 1976. This book covers everything from their recording careers in the decade after the band's dissolution to the musicians they played with, the bands they influenced, the manifestations of latter-day Beatlemania, and the constant clamour for reunion expressed by fans and - sometimes - by the four themselves.
Since its first edition over 60 years ago, Rockwood and Green’s Fractures in Adults has been the go-to reference for treating a wide range of fractures in adult patients. The landmark, two-volume tenth edition continues this tradition with two new international editors, a refreshed mix of contributors, and revised content throughout, bringing you fully up to date with today’s techniques and technologies for treating fractures in orthopaedics. Drs. Paul Tornetta III, William M. Ricci, Robert F. Ostrum, Michael D. McKee, Benjamin J. Ollivere, and Victor A. de Ridder lead a team of experts who ensure that the most up-to-date information is presented in a comprehensive yet easy to digest manner.
First published in 1998, this collection of essays by eminent microfinance practitioners provides a range of perspectives on contemporary issues in the field. Different approaches are proposed for achieving improved access by the poor to financial services. The common denominator in these essays is financial sustainability for the service provider. Issues addressed include: is savings mobilization integral to microfinance and, if so, how should it be incorporated in new programs? Are borrower groups a necessary element of successful microfinance programs? Are NGOs the right institutional vehicle for sustainable microfinance interventions? Is standardized and generalizable microfinance credit rating system feasible? While there is considerable diversity in the approaches recommended in these essays, the importance of cost efficiency and cost recovery forms the basis for most of the discussions.
This text is a comprehensive, practical, clearly illustrated examination of reality therapy. It includes an historically significant interview with William Glasser, MD, multicultural applications and research based studies. Its goal is to enhance the skills of helpers so that clients may live a more effective life through a total balance of love, health, and happiness. To help teach reality therapy, the author encapsulates the delivery system into the acronym "WDEP". It is expanded to include 22 types of self-evaluation which counsellors and therapists can use to shorten therapy time in the current managed care environment. Each component of the delivery system is illustrated with dialogues so that the reader can see exactly how the system is practical and immediately usable.
The most common demyelinating disease of the central nervous system (CNS) in the young adult population is multiple sclerosis (MS). MS is characterized by the focal loss of myelin sheaths in the brain and in the spinal cord of patients that is correlated with elevated activity of the immune system directed toward CNS antigens including myelin. The progression of MS is highly variable, but in many cases, it is characterized by a series of relapsing and remitting attacks that slowly increase residual functional deficit. Often, after several years, the disease transitions to a more progressive phenotype. Much of what is known about the pathology of MS is derived from a number of animal models. The most common animal model for the study of MS is experimental allergic encephalitis (EAE), which depending upon the host animal can present as relapsing/remitting or progressive disease. Although EAE has provided mechanistic insights implicating T-cell activation in the onset and progression of disease, understanding the mechanisms of pathology onset and myelin repair in the CNS require alternative models. One emerging hypothesis is that activation of T cells is secondary to pathogenesis of oligodendrocytes and animals models in which targeted loss of oligodendrocytes are beginning to reveal an understanding of the initiation of CNS demyelination. Myelin repair is difficult to study in the setting of EAE or oligodendrocyte pathogenesis; however, toxin models that result in localized demyelination as a consequence of direct injection or oral delivery have provided critical insights into cells of origin, timing, and molecular mechanisms guiding remyelination. Taken together, these three distinct model systems provide a strong basis for dissecting cell and molecular mechanism of demyelination as well as characterizing the efficacy of targeted therapeutics.
With the 13th edition, Wintrobe’s Clinical Hematology once again bridges the gap between the clinical practice of hematology and the basic foundations of science. Broken down into eight parts, this book provides readers with a comprehensive overview of: Laboratory Hematology, The Normal Hematologic System, Transfusion Medicine, Disorders of Red Cells, Hemostasis and Coagulation; Benign Disorders of Leukocytes, The Spleen and/or Immunoglobulins; Hematologic Malignancies, and Transplantation. Within these sections, there is a heavy focus on the morphological exam of the peripheral blood smear, bone marrow, lymph nodes, and other tissues. With the knowledge about gene therapy and immunotherapy expanding, new, up-to-date information about the process and application of these therapies is included. Likewise, the editors have completely revised material on stem cell transplantation in regards to both malignant and benign disorders, graft versus host disease, and the importance of long-term follow-up of transplantation survivors.
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