Activities The MOP activities all have the same basic structure: Purpose and Expected OutcomeIn this section, we tell students the specific concepts, principles, and other ideas that will be raised and addressed during the activity. This section also tells students what they are expected to learn Prior Experience / Knowledge Needed first list for students the concepts and principles they should know or be familiar with before attempting the activity. Then, if necessary, we provide any additional background needed to do the activity Main Activity contains the specific questions and problems that probe students' understanding and prepare them to make sense out of the ideas Reflection Main Activity, students re-examine their answers to look for patterns. They are also asked to generalize, abstract, and relate concepts to the situations they have studied
In 2012 we received a grant from the Veterans Health Administration Office of Specialty Care entitled, “Patient-Centered Model for the Management of Chronic Obstructive Pulmonary Disease.” The grant’s goals were to enhance the recognition and diagnosis of COPD and implement a Patient-Centered Model for the Management of COPD. As the work on that proposal progressed, we realized that providers did not have an up-to-date, comprehensive, easily read, “how to” manual for the management of COPD despite all the advances in COPD care that have occurred over the past 5 years. Consensus documents such as the VA-DOD Guidelines were abbreviated summaries that were rarely used. From those discussions, the concept for this volume, a COPD Primer, developed. The goal was to develop a practical book that concisely presented COPD to providers with sufficient background and explanation of the physiologic and scientific rationale for various management strategies without becoming an esoteric academic work. We hope that this COPD Primer has achieved that goal and will be a useful, practical text for practitioners and medical trainees alike. The COPD Primer begins with an examination of what COPD is; it is really a syndrome, a constellation of historical features and clinical, physiologic, and radiographic findings. However, those elements come together in many different ways to create multiple different COPD phenotypes that are only now being recognized and used to define specific management strategies. COPD research has progressed beyond the simple classification of “blue bloaters” and “pink puffers.” Next, the epidemiology and economic consequences of COPD are reviewed. Bill Eschenbacher presents an approach to the patient with respiratory symptoms with detailed discussions of pulmonary function testing and how airflow limitation/obstruction is identified by spirometry and the use of lung imaging to identify individuals with COPD. Michael Borchers and Gregory Motz summarize current evidence implicating genetics, proteolytic imbalance, oxidative stress, inflammation, occupational and environmental exposures, and innate and adaptive immune function in the pathogenesis of COPD and the implication of these findings to future treatments. The single most important intervention in the prevention and treatment of COPD is smoking cessation. Shari Altum, Katherine Butler, and Rachel Juran present a practical approach to smoking cessation utilizing motivational interviewing in combination with pharmacologic interventions. Then, they expand upon these concepts to provide practitioners with convenient, realistic suggestions to encourage patient self-management in all aspects of COPD care and overall health. Ahsan Zafar reviews the natural history, recently described COPD phenotypes, and gender differences that clearly illustrate the broad spectrum of disease that comprises the term, COPD. The cover illustration highlights Dr. Zafar’s creative and artistic talents. The extensive nonpulmonary aspects of COPD are reviewed by Ralph Panos in an examination of COPD’s multi-organ manifestations. Next, the effect of COPD on sleep and the overlap syndrome, the concurrence of COPD and obstructive sleep apnea, and its consequences are presented. Jean Elwing examines the effect of COPD on the pulmonary vasculature with a detailed discussion of the evaluation and management of pulmonary hypertension associated with COPD. COPD’s effects on psychosocial functioning and familial interactions are presented by Mary Panos and Ralph Panos. The focus of the Primer then shifts from manifestations to treatment with a discussion of stable COPD management. With the current plethora of devices for delivering respiratory medications, it is difficult for both patients and providers to sustain knowledge of their proper use. Aaron Mulhall presents a practical guide to correct inhaler use that reviews all the current devices. Folarin Sogbetun then reviews the management of outpatient COPD exacerbations and Nishant Gupta discusses the approach to the patient hospitalized with COPD. Because patients with COPD often see multiple subspecialty physicians in addition to their primary care providers, interdisciplinary communication and coordination of care is essential for their management; Sara Krzywkowski-Mohn reviews the interactions between primary and specialty care for the patient with COPD with suggestions for improved communication and care coordination. Finally, advance care planning including palliative care and hospice is reviewed with a discussion of how end stage COPD affects not only the patient but also their family and social network. This COPD Primer incorporates the knowledge that we have learned over the past several years during the development and implementation of a patient-centered model for the management of COPD. It was written with the explicit goal of assisting both the practicing provider and medical trainee in the care of patients with COPD.
There is oneTeacher's Guide which corresponds with each Student Activities Book, and consists of two parts: Answers and InstructionalAids forTeachers, and Answer Sheets. The Answers and Instructional Aids for Teachers provides advice for how to optimize the effectiveness of the activities, as well as brief explanations and comments on each question in the student activites. The Answer Sheets may be duuplicated and distributed to students as desired. Use of the Answer Sheets is particularly recommended for activities requiring a lot of graphing or drawing.
There is oneTeacher's Guide which corresponds with each Student Activities Book, and consists of two parts: Answers and InstructionalAids forTeachers, and Answer Sheets. The Answers and Instructional Aids for Teachers provides advice for how to optimize the effectiveness of the activities, as well as brief explanations and comments on each question in the student activites. The Answer Sheets may be duuplicated and distributed to students as desired. Use of theAnswer Sheets is particularly recommended for activities requiring a lot of graphing or drawing.
Sprawling Piedmont cities, ghost towns on the plains, earth-toned placitas set against the Sangre de Cristo Mountains, mining camps transformed into ski resorts--these are some of the diverse regions in Colorado explored in this fascinating book. Historical geographer William Wyckoff traces the evolution of the state during its formative years from 1860 to 1940, chronicling its changing cultural landscapes, social communities, and connections to a larger America and showing that Colorado has exemplified the unfolding of a complex western environment. Wyckoff discusses how nature, capitalism, a growing federal political presence, and national cultural influences came together to produce a new human geography in Colorado. He explains the ways in which the state's distinctive settlement geographies each took on a special character that persists to the present. He leads the reader through the transformation of the state from wilderness to a distinct region capable of accommodating the diverse needs of ranchers, miners, merchants, farmers, and city dwellers. And he describes how a state created out of cartographic necessity has been given uniqueness and meaning by the people who live there.
Biology of Female Cancers explores what can be learned about female cancers by summarizing what is known about the mechanisms of growth regulation and genetic features associated with common forms of female cancers, including malignancies of the breast, ovary, uterus, cervix, vulva, and gestational trophoblastic disease. The book describes the etiology, incidence, pathology, staging, and treatment of each type of cancer. The risk of developing particular tumor types and how their growth may be influenced by hormones, growth factors, and cytokines is also discussed. For oncologists, gynecologists and obstetricians, cell biologists, and everyone interested in learning more about female cancers, the Biology of Female Cancers offers a comprehensive, unique approach.
Providing the most comprehensive examination to date of Asians in the Centennial State, William Wei addresses a wide range of experiences, from anti-Chinese riots in late nineteenth-century Denver to the World War II incarceration of Japanese Americans at the Amache concentration camp to the more recent influx of Southeast Asian refugees and South Asian tech professionals. Drawing on a wealth of historical sources, Wei reconstructs what life was like for the early Chinese and Japanese pioneers, and he pays special attention to the different challenges faced by those in urban versus rural areas. The result is a groundbreaking approach that helps us better understand how Asians survived—and thrived—in an often hostile environment. Offering a fresh perspective on how cycles of persecution are repeated, Wei reveals how the treatment of Asian Americans resonates with the experiences of other marginalized groups in American society. His study sheds light not only on the Asian American experience but also on the development of Colorado and the greater American West.
Montana: A History of Two Centuries first appeared in 1976 and immediately became the standard work in its field. In this thoroughgoing revision, William L. Lang has joined Michael P. Malone and Richard B. Roeder in carrying forward the narrative to the 1990s. Fully twenty percent of the text is new or revised, incorporating the results of new research and new interpretations dealing with pre-history, Native American studies, ethnic history, women's studies, oral history, and recent political history. In addition, the bibliography has been updated and greatly expanded, new maps have been drawn, and new photographs have been selected.
For this updated edition, the treatment of the mechanisms of action, pharmacology and adverse effects of the drugs used to treat bacterial, fungal, parasitic and viral infections has been expanded. This edition also includes new chapters on the fluoroquinolones and drugs used to treat AIDS.
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