Mitochondrial myopathies encompass major muscular problems, but so much more. This book is about the journey of a woman to uncover the source of her hereditary disorder. It was an illness that unflaggingly plagued her family for generations. Initially intermittent and invisible, with time, it morphed into a disease with severe and life-threatening symptoms. She endures false starts and numerous dead-ends, as she sets about discovering the origin of this mysterious illness dating back to her great-grandfather, who served in the Civil War. His early disability pension application included several notes from physicians documenting his difficulties in detail. Their observations provided essential and defining clues to his disability. An accurate diagnosis is often challenging to find. The writer shares her story, hoping it may help someone else to know they are not alone as they initiate their search in this broad and perplexing area. To further complicate the matter, some diseases are not yet recognized. Every delay in diagnosis, she notes, puts off a better future. As a communication sciences specialist, the author chronicles life with her disease from personal experience and an informed professional perspective. To her, it was as though she had prepared for this illness her whole life. With my illness, my body spun an alternate universe, and with time, the new reality expanded with each new symptom or twist and turn. Other complications loomed, and their intricacies were so numerous as to take my breath away. The disease created a universe of alternate senses with no cancellation option available. Soft fabrics burned my skin, while perfectly normal-looking skin itched. Blistered skin may not hurt at all. For no discernible reason, lightning pains chose to strike quickly and deep in new and unanticipated places, leaving me to wonder if I had a new problem or just another transient incident. One day, without warning, I blacked out and then promptly regained consciousness, wondering, "What just happened here?" It was a mostly unforeseen problem that could cause serious injuries. It was also uncontrollable to no small degree. Numbness and tingling were near constant companions, necessitating having to scan for unfelt injuries periodically. Warned that if my shoes were too tight, they could cause wounds capable of bringing about my early demise, I changed them every day.
Addressing literacy and disadvantage requires high-quality teaching, first and foremost: there are no quick fixes, simplistic solutions or silver bullets. Both research and professional evidence from schools have revealed a strong association between social disadvantage and achievement in literacy: in fact, it has been a concern for over 70 years. Yet, many trainee teachers, and teachers in general, feel ill-equipped to deal with the issue. This book supports trainee teachers to explore the complex relationships between literacy achievement and social background. It offers practical strategies for teaching and supports trainee teachers to understand that: *children’s individual backgrounds need to be valued and drawn upon; *deficit descriptions of disadvantaged children and low expectations must be avoided and challenged; *schools, teachers and classrooms must provider rich literacy environments for learning.
Despite years of research, debate and changes in mental health policy, there is still a lack of consensus as to what recovery from psychosis actually means, how it should be measured and how it may ultimately be achieved. In Recovering from a First Episode of Psychosis: An Integrated Approach to Early Intervention, it is argued that recovery from a first episode of psychosis (FEP) is comprised of three core elements: symptomatic, social and personal. Moreover, all three types of recovery need to be the target of early intervention for psychosis programmes (EIP) which provide evidence-based, integrated, bio-psychosocial interventions delivered in the context of a value base offering hope, empowerment and a youth-focused approach. Over the 12 chapters in the book, the authors, all experienced clinicians and researchers from multi-professional backgrounds, demonstrate that long-term recovery needs to replace short term remission as the key target of early psychosis services and that, to achieve this, we need a change in the way we deliver EIP: one that takes account of the different stages of psychosis and the ‘bespoke’ targeting of integrated medical, psychological and social treatments during the ‘critical period’. Illustrated with a wealth of clinical examples, this book will be of great interest to clinical psychologists, psychiatrists, psychiatric nurses and other associated mental health professionals.
Skills for Midwifery Practice is the go-to book for all midwifery students who need to learn what to do in a range of situations, how to perform a skill, and why they need to do it in a certain way. Written by midwifery educators Ruth Johnson and Wendy Taylor, the book makes learning easy with background information, learning outcomes, helpful diagrams and lists to represent the skill flow. It explains the underlying physiology associated with pregnancy and childbirth, and clearly defines the nature and extent of current practice. This version is fully updated and referenced throughout to provide a detailed evidence base to support learning and further study. It is ideal for midwives in training, qualified midwives returning to practice, as well as other members of the obstetric healthcare team. Clear and logical – easy to follow and understand for training midwives Accurate, up-to-date evidence base that is relevant to contemporary midwifery practice Each skill contextualized with background, indications and contraindications to support both clinical practice and study Learning objectives and end-of-chapter self-assessment exercises allow readers to monitor their progress New to this edition Latest guidelines and standards New information on resuscitation and other emergencies Now in full color throughout Expanded chapter on the use of standard precautions in light of the global pandemic Developed discussion of alternative feeding methods
Overview This is the second edition of the well-regarded local text, Employment Relations. This new edition takes an even more practical approach to a complex area, considering both the industrial regulation and human resources dimensions of the employment relationship. As well as providing a comprehensive guide to employment relations in Australia, the text also offers a selective international comparative view on the management of the employment relationship. The text explains and emphasises the real-world connections between the important theories of industrial relations and human resources, which are key components of the employment relations discipline. The overarching aim is for students to gain a deeper understanding of the 'World of Work', through the discipline of Employment Relations.
Work-based learning routes are a versatile and innovative way to gain higher education qualifications. This book reflects that flexibility and prepares tutors for helping work-based students learn in a variety of ways at both undergraduate and postgraduate level. Offering practical information and advice, the book covers the major aspects of work-based learning, which include: - Accreditation of prior learning (APL) - Work-based projects - Learning agreements - Relevant innovative assessment methods - Quality assurance and enhancement mechanisms - How technology can be utilised as a learning tool. Featuring activities, case studies and useful hints and tips informed by a range of international scholars, it's the ideal companion for tutors of work-based learning students.
Written and edited by leading physicians, Breastfeeding: A Guide for the Medical Profession, 9th Edition, offers comprehensive, dependable information and guidance in this multifaceted field. Award-winning author and co-founder of the Academy of Breastfeeding Medicine, Dr. Ruth Lawrence, and her son, Dr. Rob Lawrence, ensure that you’re brought fully up to date on everything from basic data on the anatomical, physiological, biochemical, nutritional, immunological, and psychological aspects of human lactation, to the problems of clinical management of breastfeeding—all in a highly readable, easily accessible desk reference. Helps you make appropriate drug recommendations, treat conditions associated with breastfeeding, and provide thoughtful guidance to the breastfeeding mother according to her circumstances, problems, and lifestyle. Includes numerous charts and tables throughout, with an emphasis on the scientific, chemical, and physiological underpinnings of breastfeeding. Appendices contain additional charts and tables, including the complete collection of clinical protocols on breastfeeding and human milk from the Academy of Breastfeeding Medicine. Features new chapters on breast conditions and their management in the breastfeeding mother, breastfeeding and chest-feeding for LGBTQ+ families, breastfeeding during disasters, and establishing a breastfeeding practice or academic department. Provides significant updates on physiology and biochemistry of lactation; medications and herbal preparations in breast milk; transmission of infectious disease through breast milk; allergy and its relationship with breastfeeding, exposure, and avoidance; premature infants and breastfeeding; and practical management of the mother-infant nursing couple. Offers authoritative and fresh perspectives from new associate editors: neonatologist Dr. Larry Noble, obstetrician Dr. Alison Stuebe, and pediatrician and lactation specialist Dr. Casey Rosen-Carole. Covers patient-centered counseling, the cellular composition of human breast milk, microbiota of the breast and human milk, and the multifunctional roles of human milk oligosaccharides (HMOs)
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