A Special Publication of the Society of Environmental Toxicology and Chemistry (SETAC) Aquatic Mesocosm Studies in Ecological Risk Assessment discusses the methods currently used for conducting simulated field studies and provides a series of case histories in which mesocosm type studies have been used to assess the impact of pesticides on aquatic ecosystems. Specific chapters address the dosing and exposure components of such studies and how they influence experimental design. Advantages and disadvantages of various statistical designs are addressed in detail. Regulatory aspects of the design and interpretation of these studies are also covered. The book will be a superb reference for aquatic biologists, ecologists, toxicologists, environmental toxicologists, environmental chemists, and regulatory personnel.
No specialty faces more diverse and challenging ethical dilemmas than palliative medicine. What is the best way to plan ahead for the end of life? How should physicians respond when patients refuse treatments likely to be beneficial, or demand treatments not likely to be? Who makes medical decisions for patients who are too ill to decide for themselves? Do patients have the "right to die" (and, if so, what exactly does that mean)? In this volume noted palliative care physician and bioethicist Robert C. Macauley addresses a broad range of issues from historical, legal, clinical, and ethical perspectives. Clinically nuanced and philosophically rigorous, Ethics in Palliative Care analyzes hot-button subjects like physician assisted dying and euthanasia, as well as often overlooked topics such as pediatric palliative care, organ donation, palliative care research, and moral distress. Drawing on real cases yet written in non-technical language, this complete guide will appeal to both medical professionals and lay readers.
The leading reference in reproductive health for 30 years, with over 2,000,000 copies in print, Contraceptive Technology is included on CD-ROM with all copies of the book and also available separately as listed below. This is a direct electronic conversion, complete and unabridged, in a PDF format. Includes word searching capabilities of the full Contraceptive Technology text. Patient instructions or other content for individual counseling or use may also be printed out. Active links are provided to the 300 websites recommended by the authors throughout Contraceptive Technology. Please see the pages in the back of this book with instructions on how to activate and use the CD-ROM. Book jacket.
In your practice, you require advanced knowledge of the obstetrical, medical, genetic and surgical complications of pregnancy and their effects on the mother and fetus. With both basic science and clinical information, six new chapters, and an updated color design, you need look no further than the 6th edition of this long-time best seller. Includes both basic science and clinical information to give you comprehensive knowledge of the biology of pregnancy. Acts as an excellent resource for OB/GYNs studying for their Maternal-Fetal Medicine boards — and for practitioners who need quick access to practical information. Provides an updated and focused reference list to keep you up to date on the standards of care in maternal-fetal medicine today. Keeps you current with a new section: Disorders at the Maternal-Fetal Interface...and 6 new chapters: Biology of Parturition, Developmental Origins of Health and Disease, Intrapartum Assessment of Fetal Health, Pathogenesis of Pre-term Birth, Maternal and Fetal Infectious Disorders, and Benign Gynecological Conditions of Pregnancy. Features over 50% new authorship with increased focus on international perspectives. Includes the following hot topics in Maternal-Fetal Medicine: o Biology of Parturition o Fetal Growth o Prenatal Genetic Screening and Diagnosis o Fetal Cardiac Malformations and Arrhythmias o Thyroid Disease and Pregnancy o Management of Depression and Psychoses during Pregnancy and the Puerperium Focuses on evidence based medicine, the current best practice in MFM for diagnosing and treating high risk pregnancies. Includes new illustrations and an updated, color design.
The narrow gauge railroad arrived in the United States in the late nineteenth century. Based on the Welsh two-foot gauge, the American narrow gauge was expanded by railroad engineers to a three-foot gauge that became the standard track width for narrow gauge railroads in the United States. Maine, however, adopted the two-foot gauge that was developed by George E. Mansfield in Massachusetts. The narrow track width was ideally suited to the mountainous terrain, and the maneuverability of the trains proved highly beneficial to companies and passengers traveling to remote locations. The narrow gauge railroad served Maine for over fifty years until the early 1940s. Maine Narrow Gauge Railroads is a comprehensive pictorial record of the history of the narrow gauge railroad in Maine. From the one-hundred-twelve-mile Sandy River and Rangeley Lakes Railroad to the five-mile Kennebec Central, Maine Narrow Gauge Railroads features the toylike miniature trains of Maine as they appeared at different stages in their history. The Bridgton and Harrison Railroad, the Monson Railroad, and the Wiscasset, Waterville and Farmington Railway lines are documented within, as well as the current restoration projects that are under way.
Environmental forensics is emerging and evolving into a recognized scientific discipline with numerous applications, especially regarding chlorinated solvents. This unique book provides the reader with a concise compilation of information regarding the use of environmental forensic techniques for age dating and identification of the source of a chlorinated solvent release. Concentrating on the five commonly encountered chlorinated solvents (perchloroethylene, trichloroethylene, methyl chloroform, carbon tetrachloride and CFC-113), forensic opportunities applicable to each are presented including the use of stabilizers, manufacturing impurities, surrogate chemicals and physical measurements and degradation products as diagnostic indicators. Detailed historical chronology of the applications of the solvents and specific chapters devoted to dry cleaning and vapor degreasing equipment are included as are generic forensic approaches. Forming a basis for further ideas in the evolution of environmental forensic techniques, Chlorinated Solvents will be an indispensable reference tool for researchers, regulators and analysts in the field.
Comprehensive, easy to read, and clinically relevant, Bradley’s Neurology in Clinical Practice provides the most up-to-date information presented by a veritable "Who's Who" of clinical neuroscience. Its unique organization allows users to access content both by presenting symptom/sign and by specific disease entities—mirroring the way neurologists practice. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this an ideal, dynamic resource for both practicing neurologists and trainees. Authoritative, up-to-date guidance from Drs. Daroff, Jankovic, Mazziotta, and Pomeroy along with more than 150 expert contributors equips you to effectively diagnose and manage the full range of neurological disorders. Easy searches through an intuitive organization by both symptom and grouping of diseases mirrors the way you practice. The latest advances in clinical neurogenetics, brain perfusion techniques for cerebrovascular disease, the relationship between neurotrauma and neurodegenerative disease, management strategies for levodopa-related complications in movement disorders, progressive neuropsychiatric disorders arising from autoimmune encephalitis, and more keep you at the forefront of your field. Reorganized table of contents which includes new chapters on: Brain Death, Vegetative, and Minimally Conscious States; Deep Brain Stimulation; Sexual Dysfunction in Degenerative and Spinal Cord Disorders; Sports and Performance Concussion; Effects of Drug Abuse on the Nervous System; and Mechanisms of Neurodegenerative Disorders. Regular online updates reflect the latest information on the diagnosis and treatment of neurologic diseases based on the latest recommendations and methodologies. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Robert Laird Borden, Prime Minister of Canada from 1911 to 1920, was born in the village of Grand Pré, Nova Scotia, in 1854. He practiced law in the province before entering politics. In 1896 he was elected to the House of Commons, and in 1901 was chosen leader of the Liberal-Conservative party. After his retirement in 1920, Sir Robert kept on the sidelines of the political debate, although he was often consulted by those in power and was frequently tempted to express his views on current issues. During the last four years of his life, 1933 to 1937, he recorded some of his thoughts and experiences in the form of ‘Letters to Limbo.’ Some of these he read over and revised, others he left as dictated. The wide range of his interests is revealed in the topics: union government for Canada? / reminiscences of household pets / inaccuracy of the press / bestowal of honours in Canada / business conditions in the United States / Dean of Canterbury and Social Credit / appraisal of Sir Arthur Currie / King Edward VIII and Mrs. Simpson. All the letters but four are presented in this volume. They reveal some of the inner thoughts and strongest beliefs of Sir Robert, giving an insight into the man and his times. Whimsical and humourous, or serious and well-argued, these letters paint a portrait in words of one of the greatest figures in Canadian history.
Explores the relationship between architectural history and the current practice of architecture. The authors draw on insights from anthropology, ancient history, theology, philosophy and the Holocaust. They also provide practical ideas which should help students build a more human world.
The book covers a wide range of topics, from nervous system development, perinatal brain injuries, oncology, and phakomatoses (neurocutaneous diseases) to congenital metabolic diseases, spinal lesions, and skull diseases - pointing to the methodology for achieving the most accurate diagnosis in even the most unusual cases. This book is valuable for students, residents, and specialists who need to stay up-to-date in the rapidly growing area of neuropathology and neuroradiology.
This best-selling resource has a worldwide reputation as the leader in its field. Focusing on human immunology and biology, while also reporting on scientific experimentation and advancement, it provides comprehensive coverage of state-of-the-art basic science as well as authoritative guidance on the practical aspects of day-to-day diagnosis and management. This new edition includes 700 full-color illustrations and a new, more accessible format to make finding information a snap for the busy practitioner. Includes a glossary of allergy and immunology for quick and easy reference. Contains keypoints and clinical pearls highlighted to find important information quickly. links to useful online resources both for you and for your patients. Offers contributions from hundreds of international authorities for world-class expertise in overcoming any clinical challenge. Contains 400 new illustrations, 700 in all, to better illustrate complex immunology. Covers the very latest in the field, including hot topics such as food allergy and immunotherapy. Includes the latest guidelines from The National Asthma Education and Prevention Program (NAEPP). Utilizes a new, more user-friendly full-color format for easier reference.
The Rowell-Sirois Commission and the Remaking of Canadian Federalism investigates the groundbreaking inquiry launched to reconstruct Canada’s federal system. In 1937, the Canadian confederation was broken. As the Depression ground on, provinces faced increasing obligations but limited funds, while the dominion had fewer responsibilities but lucrative revenue sources. The commission’s report proposed a bold new form of federalism based on the national collection and unconditional transfers of major tax revenues to the provinces. While the proposal was not immediately adopted, this incisive study demonstrates that the commission’s innovative findings went on to shape policy and thinking about federalism for decades.
The landmark text on how to achieve optimal patient outcomes through evidence-based medication therapy Pharmacotherapy: A Pathophysiologic Approach is written to help you advance the quality of patient care through evidence-based medication therapy derived from sound pharmacotherapeutic principles. The scope of this trusted classic goes beyond drug indications and dosages to include the initial selection, proper administration, and monitoring of drugs. You will find everything you need to provide safe, effective drug therapy across the full range of therapeutic categories. This edition is enriched by more than 300 expert contributors, and every chapter has been revised and updated to reflect the latest in evidence-based information and recommendations. Important features such as Key Concepts at the beginning of each chapter, Clinical Presentation tables that summarize disease signs and symptoms, and Clinical Controversies boxes that examine the complicated issues faced by students and clinicians in providing drug therapy make this text an essential learning tool for students, patient-focused pharmacists, and other health care providers. NEW TO THIS EDITION A section on personalized pharmacotherapy appears in most sections All diagnostic flow diagrams, treatment algorithms, dosing guideline recommendations, and monitoring approaches have been updated in full color to clearly distinguish treatment pathways New drug monitoring tables have been added Most of the disease-oriented chapters have incorporated evidence-based treatment guidelines that when available, include ratings of the level of evidence to support the key therapeutic approaches Twenty-four online-only chapters
Adapted from Citow: Comprehensive Neurosurgery Board Review, the book contains expanded text and over 20 additional illustrations, and is ideal for reference and board review.
Stay informed on every aspect of breastfeeding, from basic data on the anatomical, physiological, biochemical, nutritional, immunological, and psychological aspects of human lactation, to the problems of clinical management of breastfeeding. Learn from the award-winning author and co-founder of the Academy of Breastfeeding Medicine, Dr. Ruth Lawrence, and her son, Dr. Rob Lawrence. Make appropriate drug recommendations, including approved medications, over-the-counter medications, and herbal remedies. Provide thoughtful guidance to the breastfeeding mother according to her circumstances, problems, and lifestyle from integrated coverage of evidence-based data and practical experience. Find what you need quickly with a new, streamlined approach. Treat conditions associated with breastfeeding and effectively manage the use of medications during lactation thanks to extensive, up-to-date, evidence-based information.
The most authoritative, trusted guide to breastfeeding for the medical profession Stay informed on every aspect of breastfeeding, from basic data on the anatomical, physiological, biochemical, nutritional, immunological, and psychological aspects of human lactation, to the problems of clinical management of breastfeeding. Learn from the award-winning author and co-founder of the Academy of Breastfeeding Medicine, Dr. Ruth Lawrence, and her son, Dr. Rob Lawrence. Make appropriate drug recommendations, including approved medications, over-the-counter medications, and herbal remedies. Provide thoughtful guidance to the breastfeeding mother according to her circumstances, problems, and lifestyle from integrated coverage of evidence-based data and practical experience. Find what you need quickly with a new, streamlined approach that moves large tables and key references online. Treat conditions associated with breastfeeding and effectively manage the use of medications during lactation thanks to extensive, up-to-date, evidence-based information.
25 ADDITIONAL CHAPTERS AVAILABLE ONLINE THE LANDMARK TEXT ON HOW TO ACHIEVE OPTIMAL PATIENT OUTCOMES THROUGH EVIDENCE-BASED MEDICATION THERAPY Pharmacotherapy: A Pathophysiologic Approach is written to help you advance the quality of patient care through evidence-based medication therapy derived from sound pharmacotherapeutic principles. The scope of this trusted classic goes beyond drug indications and dosages to include the initial selection, proper administration, and monitoring of drugs. You will find everything you need to provide safe, effective drug therapy across the full range of therapeutic categories. This edition is enriched by more than 300 expert contributors, and every chapter has been revised and updated to reflect the latest evidence-based information and recommendations. Important features such as Key Concepts at the beginning of each chapter, Clinical Presentation tables that summarize disease signs and symptoms, and Clinical Controversies boxes that examine the complicated issues faced by students and clinicians in providing drug therapy make this text an essential learning tool for students, patient-focused pharmacists, and other health care providers. NEW TO THIS EDITION: A section on personalized pharmacotherapy appears in most sections All diagnostic flow diagrams, treatment algorithms, dosing guideline recommendations, and monitoring approaches have been updated in full color to clearly distinguish treatment pathways New drug monitoring tables have been added Most of the disease-oriented chapters have incorporated evidence-based treatment guidelines that often include ratings of the level of evidence to support the key therapeutic approaches Twenty-five online-only chapters are available at www.pharmacotherapyonline.com
Now with full-color illustrations throughout, dozens of new review questions, and state-of-the-art coverage of this fast-changing area, Pediatric Gastrointestinal and Liver Disease, 6th Edition, remains the leading text in the field. You'll find definitive guidance on diagnosis and treatment from experienced editors Drs. Robert Wyllie, Jeffrey S. Hyams, and Marsha Kay, as well as globally renowned contributors who share their knowledge and expertise on complex issues. - Features an enhanced art program with full-color anatomical figures, clinical photos, and other illustrations throughout the text. - Includes a new chapter on fecal transplantation (FCT), covering donor and recipient screening, preparation, delivery, follow-up, and safety considerations, as well as investigative uses for FCT for disorders such as IBD, IBS, and D-lactic acidosis. - Prepares you for certification and recertification with more than 400 board review-style questions, answers, and rationales – 30% new to this edition. - Includes detailed diagrams that accurately illustrate complex concepts and provide at-a-glance recognition of disease processes. - Contains numerous algorithms that provide quick and easy retrieval of diagnostic, screening, and treatment information. - Provides up-to-date information on indigenous flora and the gut microbiome and clinical correlations to treatment, as well as advancements in liver transplantation including split liver transplantation (SLT) and living donor liver transplantation (LDLT). - Details key procedures such as esophagogastroduodenoscopy and related techniques; colonoscopy and polypectomy; endoscopic retrograde cholangiopancreatography; capsule endoscopy and small bowel enteroscopy; gastrointestinal pathology; and more.
Pulitzer Prize–winning poet Richard Wilbur (b. 1921) is part of a notable literary cohort, American poets who came to prominence in the mid-twentieth century. Wilbur's verse is esteemed for its fluency, wit, and optimism; his ingeniously rhymed translations of French drama by Molière, Racine, and Corneille remain the most often staged in the English-speaking world; his essays possess a scope and acumen equal to the era's best criticism. This biography examines the philosophical and visionary depth of his world-renowned poetry and traces achievements spanning seventy years, from political editorials about World War II to war poems written during his service to his theatrical career, including a contentious collaboration with Leonard Bernstein and Lillian Hellman. Wilbur's life has been mistakenly seen as blessed, lacking the drama of his troubled contemporaries. Let Us Watch Richard Wilbur corrects that view and explores how Wilbur's perceived "normality" both enhanced and limited his achievement. The authors augment the life story with details gleaned from access to his unpublished journals, family archives, candid interviews they conducted with Wilbur and his wife, Charlee, and his correspondence with Robert Lowell, Elizabeth Bishop, John Berryman, John Malcolm Brinnin, James Merrill, and others.
Boys in the Pits shows the rapid maturity of the boys and their role in resisting exploitation. In what will certainly be a controversial interpretation of child labour, Robert McIntosh recasts wage-earning children as more than victims, showing that they were individuals who responded intelligently and resourcefully to their circumstances. Boys in the Pits is particularly timely as, despite the United Nations Convention on the Rights of the Child, accepted by the General assembly in 1989, child labour still occurs throughout the world and continues to generate controversy. McIntosh provides an important new perspective from which to consider these debates, reorienting our approach to child labour, explaining rather than condemning the practice. Within the broader social context of the period, where the place of children was being redefined as - and limited to - the home, school, and playground, he examines the role of changing technologies, alternative sources of unskilled labour, new divisions of labour, changes in the family economy, and legislation to explore the changing extent of child labour in the mines.
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