Medical tests consume considerable resources and yet making requests is often left to the most junior members of the team. Medical schools often under prepare junior doctors for these tasks so they tend to request large numbers of tests to make sure 'all bases are covered' by the time a more senior colleague attends to the patient. Beginning with na?ve questions such as 'what is a medical test?' and 'why do we perform tests?', the book also covers the evaluation of tests from a public health perspective and helps the readers to determine whether a test should be introduced into clinical care. By describing the basics of medical decision making based on probability thresholds, students will learn how to avoid unnecessary testing when results are unlikely to influence patient relevant decisions, and the pros and cons of using metrics such as sensitivity, specificity, and predictive values. Illustrated throughout with real life examples from multiple medical and surgical specialties, it concludes with a novel checklist for doctors to consider every time they think of requesting a test. Written by a clinician for clinicians, this book is ideal for medical students and junior doctors. It provides everything they need to know to become experts at requesting tests. It will support them in requesting the most appropriate and effective tests, and inform them on how to interpret results, improving patients' outcomes.
Medical tests consume considerable resources and yet making requests is often left to the most junior members of the team. Medical schools often under prepare junior doctors for these tasks so they tend to request large numbers of tests to make sure 'all bases are covered' by the time a more senior colleague attends to the patient. Beginning with na?ve questions such as 'what is a medical test?' and 'why do we perform tests?', the book also covers the evaluation of tests from a public health perspective and helps the readers to determine whether a test should be introduced into clinical care. By describing the basics of medical decision making based on probability thresholds, students will learn how to avoid unnecessary testing when results are unlikely to influence patient relevant decisions, and the pros and cons of using metrics such as sensitivity, specificity, and predictive values. Illustrated throughout with real life examples from multiple medical and surgical specialties, it concludes with a novel checklist for doctors to consider every time they think of requesting a test. Written by a clinician for clinicians, this book is ideal for medical students and junior doctors. It provides everything they need to know to become experts at requesting tests. It will support them in requesting the most appropriate and effective tests, and inform them on how to interpret results, improving patients' outcomes.
At the age of 17, Randall Hunsacker shoots his mother's boyfriend, steals a car and comes close to killing himself. His second chance lies in a small Nebraska farm town, where the landmarks include McKibben's Mobil Station, Frmka's Superette, and a sign that says The Wages of Sin is Hell. This is Goodnight, a place so ingrown and provincial that Randall calls it "Sludgeville"-until he starts thinking of it as home. In this pitch-perfect novel, Tom McNeal explores the currents of hope, passion, and cruelty beneath the surface of the American heartland. In Randall, McNeal creates an outcast whose redemption lies in Goodnight, a strange, small, but ultimately embracing community where Randall will inspire fear and adulation, win the love of a beautiful girl and nearly throw it all away.
In the seventeenth century, a map of the plague suggested a radical idea—that the disease was carried and spread by humans. In the nineteenth century, maps of cholera cases were used to prove its waterborne nature. More recently, maps charting the swine flu pandemic caused worldwide panic and sent shockwaves through the medical community. In Disease Maps, Tom Koch contends that to understand epidemics and their history we need to think about maps of varying scale, from the individual body to shared symptoms evidenced across cities, nations, and the world. Disease Maps begins with a brief review of epidemic mapping today and a detailed example of its power. Koch then traces the early history of medical cartography, including pandemics such as European plague and yellow fever, and the advancements in anatomy, printing, and world atlases that paved the way for their mapping. Moving on to the scourge of the nineteenth century—cholera—Koch considers the many choleras argued into existence by the maps of the day, including a new perspective on John Snow’s science and legacy. Finally, Koch addresses contemporary outbreaks such as AIDS, cancer, and H1N1, and reaches into the future, toward the coming epidemics. Ultimately, Disease Maps redefines conventional medical history with new surgical precision, revealing that only in maps do patterns emerge that allow disease theories to be proposed, hypotheses tested, and treatments advanced.
Since the late 1970s, Americans have seen their workplaces downsized and streamlined, their jobs out-sourced and often eliminated while their unions have seemed powerless to defend them. This text recounts how the United Steelworkers of America proved that organized labour can still win.
Sports in the Steel City has never reached the highs and lows that fans in Pittsburgh experienced in the 1970s. Most remembered may be the multiple championships celebrated in city during the era, including two World Series titles, four Super Bowl victories and a NCAA football championship. Despite those successes, fans still recall major tragedies such as the deaths of Bob Moose, Roberto Clemente and others. strongLocal authors present essays on the triumphs, tragedies and championships that defined the 1970s for the city of Pittsburgh and Steel City sports.
In downtown Dallas, former CIA Agent John Campbell is having a good day until he spots Lisa Capps. The last time he'd seen Lisa was fifteen years ago when they were saying good-bye, ending a two year relationship. Before John can get Lisa's attention, she jumps into a car and speeds away. Moments later a multitude of explosions turn downtown Dallas into complete chaos. With nearly two hundred dead, John can't help but question the suspicious nature of Lisa Capps' sudden departure prior to the explosions. John's premature exodus from the CIA comes to an abrupt end. John elicits the help of a man known inside the CIA as the Wizard. The Wizard can find anyone, anywhere. What he discovers about John's old girlfriend is shocking. Lisa no longer resides in the United States, but lives in Iraq with her husband Doctor Amon Zandipour. Their son Andalee, and his grandfather, were killed on Andalee's third birthday by stray bullets; Zandipour swears were fired by American soldiers. Zandipour, now consumed by hatred for America, is out for revenge. John's search for Zandipour begins in Iraq, where he will find out the disturbing truth about Lisa Capps. Racing against time, John traces Zandipour to his extravagant home on Akdamar Island in Turkey. There John discovers what Zandipour's next target is. It's far more elaborate than Dallas. With time running out, and thousands of lives at stake, can John stop Zandipour before it's too late?
The title is misleading until you check out the contents. It is all about HVAC and more. This compilation has organized data frequently used by Mechanical Engineers, Mechanical Contractors and Plant Facility Engineers. The book will end the frustration on a busy day searching for design criteria.
This book is volume two of McColloughs memoir. Once the VIN YETS machine was churning out vignettes like a sausage factory, no one told him to stop writing. They were written to be read aloud at the Writers Group at the Saratoga Retirement Community. If well received by relatives and friends, Tom might publish, The Best of COMMENTARY AND VIN YETS. Tom McCollough is a retired business man who worked for Ross Laboratories, the nutrition division of Abbott Laboratories. He was also a fellow in the National Program for educational Leadership. He and his wife Marian moved from Columbus Ohio to the Saratoga Retirement in Saratoga, California in 2005.
Devil’s Gate—the name conjures difficult passage and portends a doubtful outcome. In this eloquent and captivating narrative, Tom Rea traces the history of the Sweetwater River valley in central Wyoming—a remote place including Devil’s Gate, Independence Rock, and other sites along a stretch of the Oregon Trail—to show how ownership of a place can translate into owning its story. Seemingly in the middle of nowhere, Devil’s Gate is the center of a landscape that threatens to shrink any inhabitants to insignificance except for one thing: ownership of the land and the stories they choose to tell about it. The static serenity of the once heavily traveled region masks a history of conflict. Tom Sun, an early rancher, played a role here in the lynching of the only woman ever hanged in Wyoming. The lynching was dismissed as swift frontier justice in the wake of cattle theft, but Rea finds more complicated motives that involve land and water rights. The Sun name was linked with the land for generations. In the 1990s, the Mormon Church purchased part of the Sun ranch to memorialize Martin’s Cove as the site of handcart pioneers who froze to death in the valley in 1856. The treeless, arid country around Devil’s Gate seems too immense for ownership. But stories run with the land. People who own the land can own the stories, at least for a time.
Roadless Rules is a fast-paced and insightful look at one of the most important, wide-ranging, and controversial efforts to protect public forests ever undertaken in the United States. In January 2000, President Clinton submitted to the Federal Register the Roadless Area Conservation Rule, prohibiting road construction and timber harvesting in designated roadless areas. Set to take effect sixty days after Clinton left office, the rule was immediately challenged by nine lawsuits from states, counties, off-road-vehicle users, and timber companies. The Bush administration refused to defend the rule and eventually sought to replace it with a rule that invited governors to suggest management policies for forests in their states. That rule was attacked by four states and twenty environmental groups and declared illegal. Roadless Rules offers a fascinating overview of the creation of the Clinton roadless rule and the Bush administration’s subsequent replacement rule, the controversy generated, the response of the environmental community, and the legal battles that continue to rage more than seven years later. It explores the value of roadless areas and why the Clinton rule was so important to environmentalists, describes the stakeholder groups involved, and takes readers into courtrooms across the country to hear critical arguments. Author Tom Turner considers the lessons learned from the controversy, arguing that the episode represents an excellent example of how the system can work when all elements of the environmental movement work together—local groups and individuals determined to save favorite places, national organizations that represent local interests but also concern themselves with national policies, members of the executive branch who try to serve the public interest but need support from outside, and national organizations that use the legal system to support progress achieved through legislation or executive action.
Advertising Creative is the first “postdigital” creative strategy and copywriting textbook in which digital technology is woven throughout every chapter. The book gets right to the point of advertising by stressing key principles and practical information students and working professionals can use to communicate effectively in this postdigital age. Drawing on personal experience as award-winning experts in creative advertising, Tom Altstiel and Jean Grow offer real-world insights on cutting-edge topics, including global, social media, business-to-business, in-house, and small agency advertising. In this Fourth Edition, Altstiel and Grow take a deeper dive into the exploration of digital technology and its implications for the industry, as they expose the pervasive changes experienced across the global advertising landscape. Their most important revelation of all is the identification of the three qualities that will define the future leaders of this industry: Be a risk taker. Understand technology. Live for ideas.
New emerging diseases, new diagnostic modalities for resource-poor settings, new vaccine schedules ... all significant, recent developments in the fast-changing field of tropical medicine. Hunter’s Tropical Medicine and Emerging Infectious Diseases, 10th Edition, keeps you up to date with everything from infectious diseases and environmental issues through poisoning and toxicology, animal injuries, and nutritional and micronutrient deficiencies that result from traveling to tropical or subtropical regions. This comprehensive resource provides authoritative clinical guidance, useful statistics, and chapters covering organs, skills, and services, as well as traditional pathogen-based content. You’ll get a full understanding of how to recognize and treat these unique health issues, no matter how widespread or difficult to control. Includes important updates on malaria, leishmaniasis, tuberculosis and HIV, as well as coverage of Ebola, Zika virus, Chikungunya, and other emerging pathogens. Provides new vaccine schedules and information on implementation. Features five all-new chapters: Neglected Tropical Diseases: Public Health Control Programs and Mass Drug Administration; Health System and Health Care Delivery; Zika; Medical Entomology; and Vector Control – as well as 250 new images throughout. Presents the common characteristics and methods of transmission for each tropical disease, as well as the applicable diagnosis, treatment, control, and disease prevention techniques. Contains skills-based chapters such as dentistry, neonatal pediatrics and ICMI, and surgery in the tropics, and service-based chapters such as transfusion in resource-poor settings, microbiology, and imaging. Discusses maladies such as delusional parasitosis that are often seen in returning travelers, including those making international adoptions, transplant patients, medical tourists, and more.
Robert Herrick has long been one of the best loved of English lyric poets. Known through the centuries as the author of 'Gather ye rosebuds', he also wrote, as this new edition shows, hundreds of songs, epigrams and longer poems equally worthy of attention. Volume I of this new edition of Herrick's work contains Hesperides, Herrick's only published collection. As well as the commentary on Hesperides, volume II contains the fifty-nine surviving manuscript poems which can be firmly attributed to Herrick, and on which his reputation was based before 1648. It is an ambitious and original attempt to recover for the first time the history of Herrick's corpus of manuscript poetry, and to identify how his poems circulated, and who his copyists and readers were. By establishing the type of sources to which they had access and the nature and quality of the poems these sources contained, and through the histories of transmission that accompany every poem, this volume offers a significant body of evidence that deepens our critical understanding not only of Herrick's poetry, but of the mechanics of scribal publication and the culture of reading, writing and performing poetry and music in early modern England. Where, as is often the case, a musical setting survives this is also printed, along with a commentary on the setting, in a form which is designed to encourage the performance of the lyrics.
They are sent to the world's hot spots-on covert missions fraught with danger. They are called on to perform at the peak of their physical and mental capabilities, primed for combat and surveillance, yet ready to pitch in with disaster relief operations. They are the Army's Special Forces Groups. Now follow Tom Clancy as he delves into the training and tools, missions and mindset of these elite operatives. Special Forces includes: The making of Special Forces personnel: recruitment and training A rare look at actual Special Forces Group deployment Exercises Tools of the trade: weapons, communications and sensor equipment, survival gear Roles and missions: a mini-novel illustrates a probable scenario of Special Forces intervention Exclusive photographs, illustrations and diagrams Plus: an interview with General Hugh Shelton, USA, Chairman of the Joint Chiefs of Staff (and the former Commander-in-Chief of the U.S. Special Operations Command-USSOCOM)
This collection of "eloquent essays that examine the relationship between the American landscape and the national character" serves to remind us that despite our differences we all belong to the same land (Publishers Weekly). “How was it possible, I wondered, that all of this American land––in every direction––could be fastened together into a whole?” What does it mean when a nation accustomed to moving begins to settle down, when political discord threatens unity, and when technology disrupts traditional ways of building communities? Is a shared soil enough to reinvigorate a national spirit? From the embaattled newsrooms of small town newspapers to the pornography film sets of the Los Angeles basin, from the check–out lanes of Dollar General to the holy sites of Mormonism, from the nation’s highest peaks to the razed remains of a cherished home, like a latter–day Woody Guthrie, Tom Zoellner takes to the highways and byways of a vast land in search of the soul of its people. By turns nostalgic and probing, incisive and enraged, Zoellner’s reflections reveal a nation divided by faith, politics, and shifting economies, but––more importantly––one united by a shared sense of ownership in the common land.
Science fiction, fantasy and horror movies have spawned more sequels and remakes than any other film genre. Following Volume I, which covered 400 films made 1931-1995, Volume II analyzes 334 releases from 1996 through 2016. The traditional cinematic monsters are represented--Dracula, Frankenstein, the Wolf Man, a new Mummy. A new wave of popular series inspired by comics and video games, as well as The Lord of the Rings trilogy, could never have been credibly produced without the advances in special effects technology. Audiences follow the exploits of superheroes like Captain America, Iron Man, Spider-Man and Thor, and such heroines as the vampire Selene, zombie killer Alice, dystopian rebels Katniss Everdeen and Imperator Furiosa, and Soviet spy turned American agent Black Widow. The continuing depredations of Jason Voorhees, Freddy Krueger and Michael Myers are described. Pre-1996 movies that have since been remade are included. Entries features cast and credits, detailed synopsis, critics' reviews, and original analysis.
Written by internationally recognized leaders in hyperbaric oxygen therapy (HBOT) research and practice, this exciting new book provides evidence-based, practical, useful information for anyone involved in HBOT. It outlines the physiologic principles that constitute the basis for understanding the clinical implications for treatment and describes recent advances and current research, along with new approaches to therapy. This book is an essential tool for anyone who cares for patients with difficult-to-heal wounds, wounds from radiation therapy, carbon monoxide poisoning, and more. Provides comprehensive coverage of pathophysiology and clinically relevant information so you can master the specialty. Covers the relevance of HBOT in caring for diverse populations including critical care patients, infants and pediatric patients, and divers. Features a section on the technical aspects of HBOT to provide insight into the technology and physics regarding HBO chambers. Presents evidence to support the effectiveness of HBOT as well as the possible side effects. Describes situations where HBOT would be effective through indication-specific chapters on chronic wounds, radiation and crush injuries, decompression sickness, and more.
This revision of a popular textbook for the introduction course excludes management functions but covers all aspects of operations in the hotel, foodservice and restaurant, and travel and tourism businesses, including operations, and sales.
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