In the past decade, the field of trenchless technology has expanded rapidly in products, equipment, and utilization. This expansion would not have occurred without a strong increase ineconomic incentives to the user. Because theoperating environment has changed, trenchless technology is often the preferred alternative to traditional methods of digging holes and installing conduits. The infrastructure in which we live has become more congested and has to beshared by several users. In addition, the cost of restoring a road or landscaped area after construction may be higher than the cost of installing the conduit. These factors add to the need for trenchless technology-the ability to dig holes without disturbing the surface. In some ways, trenchless technology is a futuristic concept. Ruth Krauss in a children'sbookofdefinitions wrote,"AHole...Is to Dig." But thisstatement is not necessarily true. Today, a hole could be to bore. Trenchless technology is not new. But it certainly has become the buzzword of the construction industry and it appears that it will have a growing impact in the way contractors, utilities, and others install new facilities. Methods to bore horizontal holes were practiced as early as the 18005, but this technology has greatly changed. Today's tools include sophisticated drilling methods, state-of the-art power systems, and electronic guidance techniques. These tools can bore faster, safer, and more accurately, and in many instances more economically, than open-cllt methods. Technology has played an important role in these advances, but economics has become the driving force in making these systems popular.
Make sure you have a copy on your bookshelf. The Law of Higher Education, Fifth Edition, is the most up-to-date and comprehensive reference, research source, and practical legal guide for college and university administrators, campus attorneys, legal counsel, and institutional researchers, addressing all the major legal issues and regulatory developments in higher education. In the increasingly litigious environment of higher education, William A. Kaplin and Barbara A. Lee’s clear, cogent, and contextualized legal guide proves more and more indispensable every year. Over 3,000 new cases related to higher education have been decided since the publication of the previous edition, and scores of changes to higher education law are made each year. Every section of the fifth edition contains new material, including those related to: Hate speech and free speech rights of faculty in public universities Sharing of research with international colleagues Intellectual property and peer-to-peer file sharing Student suicide Campus safety Police and administrators’ right to search students’ residence hall rooms Governmental support for religious institutions and religious autonomy rights of individual public institutions Collective bargaining and antidiscrimination laws Nondiscrimination and affirmative action in employment, admissions, and financial aid Family and Medical Leave Act and workers’ compensation FERPA (Family Educational Rights and Privacy Act)
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.
Much of today's political rhetoric decries the welfare state and our maze of government regulations. Critics hark back to a time before the state intervened so directly in citizens' lives. In The People's Welfare, William Novak refutes this vision of a stateless past by documenting America's long history of government regulation in the areas of public safety, political economy, public property, morality, and public health. Challenging the myth of American individualism, Novak recovers a distinctive nineteenth-century commitment to shared obligations and public duties in a well-regulated society. Novak explores the by-laws, ordinances, statutes, and common law restrictions that regulated almost every aspect of America's society and economy, including fire regulations, inspection and licensing rules, fair marketplace laws, the moral policing of prostitution and drunkenness, and health and sanitary codes. Based on a reading of more than one thousand court cases in addition to the leading legal and political texts of the nineteenth century, The People's Welfare demonstrates the deep roots of regulation in America and offers a startling reinterpretation of the history of American governance.
While other Bible catalogs are available, this comprehensive reference book is destined to become the standard in the field. Chamberlin's one-volume work traces the publication history of multiple editions of Bible translations and offers valuable decriptive annotations. The catalog not only includes complete Bibles, but also Old and New Testaments, partial texts, commentaries that include translations, children's Bibles, Apocryphal writings, and the Koran, as well. Other bibliographies are usually limited to editions commonly found in academic libraries, but Chamberlin's guide also includes Bibles found in private collections. Overall, this catalogue contains more than five times as many entries of different English translations as two other Bible bibliographies, those by Hill and Herbert, combined. The entries are grouped in 151 categories, and within each category entries are listed in chronological order. The accompanying annotations identify the translator and provide an overview of the contents of each work. The detailed indexes make this bibliography a convenient tool for researchers. Bible scholars, collectors, and rare book dealers will find this catalogue a necessary addition to their libraries.
This is a study of TVA management of Tellico Dam. Part of the ambitious New Deal project to bring modernity to Appalachia, TVA planning was far-reaching, often far-sighted, but also controversial, involving mass migration of people from their ancestral homes and threats to species, like the snail darter.
Health informatics is the discipline concerned with the management of healthcare data and information through the application of computers and other information technologies. The field focuses more on identifying and applying information in the healthcare field and less on the technology involved. Our goal is to stimulate and educate healthcare and IT professionals and students about the key topics in this rapidly changing field. This seventh edition reflects the current knowledge in the topics listed below and provides learning objectives, key points, case studies and extensive references. Available as a paperback and eBook. Visit the textbook companion website at http://informaticseducation.org for more information.--Page 4 de la couverture.
The towering peaks of the Canadian Rockies and Columbia Mountains rival the European Alps in fame. When travelling or climbing, hiking or skiing in these areas, have you ever wondered where the names of the peaks, rivers and lakes came from, or who named them and why? In Canadian Mountain Place Names, the authors have used their scope of knowledge and expertise, along with many outside sources, to compile an entertaining and informative treatise on the toponymy of this increasingly popular alpine region. Originally published as Place Names of the Canadian Alps, this new edition is completely revised and updated. Illustrated with Glen Boles' and Roger Laurilla's stunning photographs, as well as Boles' intricate line drawings, this book is a must-have not only for avid mountaineers, skiers and hikers, but also for locals and visitors with an interest in these regions. For the authors, this book has been a labour of love: for the mountains, as well as for all those who care about the mountains.
Fetal & Neonatal Physiology provides neonatologist fellows and physicians with the essential information they need to effectively diagnose, treat, and manage sick and premature infants. Fully comprehensive, this resource continues to serve as an excellent reference tool, focusing on the basic science needed for exam preparation and the key information required for full-time practice. The 5th edition is the most substantially updated and revised edition ever. In the 5 years since the last edition published, there have been thousands of publications on various aspects of development of health and disease; Fetal and Neonatal Physiology synthesizes this knowledge into definitive guidance for today's busy practitioner. Offers definitive guidance on how to effectively manage the many health problems seen in newborn and premature infants. Chapters devoted to clinical correlation help explain the implications of fetal and neonatal physiology. Allows you to apply the latest insights on genetic therapy, intrauterine infections, brain protection and neuroimaging, and much more. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Features a fantastic new 4-color design with 1,000 illustrations, 170+ chapters, and over 350 contributors. 16 new chapters cover such hot topics as Epigenetics; Placental Function in Intrauterine Growth Restriction; Regulation of Pulmonary Circulation; The Developing Microbiome of the Fetus and Newborn; Hereditary Contribution to Neonatal Hyperbilirubinemia; Mechanistic Aspects of Phototherapy for Neonatal Hyperbilirubinemia; Cerebellar Development; Pathophysiology of Neonatal Sepsis; Pathophysiology of Persistent Pulmonary Hypertension of the Newborn; Pathophysiology of Meconium Aspiration Syndrome; Pathophysiology of Ventilator Dependent Infants; Pathophysiology of Hypoxic-Ischemic Brain Injury; Pathophysiology of Neonatal White Matter Injury; Pathophysiology of Meningitis; Pathophysiology of Preeclampsia; and Pathophysiology of Chorioamnionitis. New Pathophysiology of Neonatal Diseases section highlights every process associated with a disease or injury, all in one place. In-depth information, combined with end-of-chapter summaries, enables deep or quick use of the text.
The volumes that comprise Chemical Sensitivity are the first major scientific books to be published on chemical sensitivity, a growing world-wide health problem. These volumes present clinical experiences in diagnosing and treating chemical sensitivity in over 20,000 patients under controlled conditions.
Obstetrics: Normal and Problem Pregnancies: First South Asia Edition remains your go-to choice for authoritative guidance on managing today's obstetric patient. International experts put the latest knowledge in this specialty at your fingertips, with current and relevant information on everything from fetal origins of adult disease, to improving global maternal health, to important topics in day-to-day obstetric practice. Highly readable, well-illustrated, and easy to understand, this best-selling obstetrics reference is an ideal tool for residents and clinicians. • Sweeping updates appear throughout, including four new chapters: "Vaginal Birth After Cesarean Delivery," "Placenta Accreta," "Obesity," and "Improving Global Maternal Health: Challenges and Opportunities." • New Glossary presents the most frequently used key abbreviations for easy reference. • Expanded use of bolded statements and key points, as well as additional tables, flow diagrams, and bulleted lists, facilitates and enhances the mastery of each chapter. • More than 100 images in the chapter on ultrasound provide an important resource for normal and abnormal fetal anatomy. • Collective wisdom of global experts in the field is offered.
For nearly 30 years, Dr. Meir Kryger’s must-have guide to sleep medicine has been the gold standard in this fast-changing field. This essential, full-color reference includes more than 20 unique sections and over 170 chapters covering every aspect of sleep disorders, giving you the authoritative guidance you need to offer your patients the best possible care. Evidence-based content helps you make the most well-informed clinical decisions. An ideal resource for preparing for the sleep medicine fellowship examination. New content on sleep apnea, neurological disorders, legal aspects of sleep medicine, dental sleep medicine genetics, circadian disorders, geriatrics, women’s health, cardiovascular diseases, and occupational sleep medicine, keeps you fully up to date. Updates to scientific discoveries and clinical approaches ensure that you remain current with new knowledge that is advancing the diagnosis and management of sleep disorders.
Reversibility of Chronic Disease and Hypersensitivity, Volume 4: The Environmental Aspects of Chemical Sensitivity is the fourth of an encyclopedic five-volume set describing the basic physiology, chemical sensitivity, diagnosis, and treatment of chronic degenerative disease studied in a 5x less polluted controlled environment. This text focuses on treatment techniques, strategies, protocols, prescriptions, and technologies. Distinguishing itself from previous works on chemical sensitivity, it explains newly understood mechanisms of chronic disease and hypersensitivity, involving core molecular function. The authors discuss new information on ground regulation system, genetics, the autonomic nervous system, and immune and non-immune functions. The book also includes the latest technology and cutting-edge techniques, numerous figures, and supporting research.
The culmination of more than thirty years of research, Olympians of the Sawdust Circle is an attempt to identify every major and minor player in the American circus world of the nineteenth century. This A-Z guide lists: surname, given name, dates of birth and death (if known), type of entertainment (and function) with which the individual was associated, and the companies and dates by whom the person was employed. Every researcher and library interested in American circus history will need this seminal guide. An absolutely astonishing piece of scholarship.
The utilization of footwear impression evidence continues to evolve with new materials, equipment and techniques, providing an increased ability to detect, record, enhance, and examine this form of evidence. Recently developed technology now allows investigators to more efficiently or, in some cases, instantly link multiple crime scenes where impressions have been produced by the same perpetrator. Forensic Footwear Evidence covers a wide range of relevant topics, including historical references, general information about the formation and investigative use of footwear impressions, and the best practices and considerations that apply to the recovery, enhancement, and examination of this evidence. Drawing on the author’s 44 years of acquired knowledge and experience, it is the most comprehensive and authoritative text published to date on this topic. Highlighted topics covered within the book include Three chapters covering footwear manufacturing Shoe grading, sizing, and the forensic application of sizing information Examination and reporting procedures Casting impressions in snow Barefoot evidence Topics of interest for both prosecution and defense attorneys The book includes more than 300 color photographs and illustrations throughout, as well as case examples that apply theoretical concepts to the real world. A single, complete reference on the subject, Forensic Footwear Evidence presents a wide range wealth of information that will serve as an invaluable reference to novice and experienced examiners, crime scene technicians, investigators, and prosecution and defense counselors alike.
In The American South, William J. Cooper, Jr. and Thomas E. Terrill demonstrate their belief that it is impossible to divorce the history of the south from the history of the United States. Each volume includes a substantial biographical essay—completely updated for this edition—which provides the reader with a guide to literature on the history of the South. Coverage now includes the devastation of Hurricane Katrina in 2005, up-to-date analysis of the persistent racial divisions in the region, and the South's unanticipated role in the 2008 presidential primaries.
Leading experts critically summarize the state of knowledge concerning the molecular, anatomical, physiological, and behavioral aspects of NPY and its congeners. Each article provides a comprehensive and in-depth survey, an overview of the role of NPY in the discipline covered, a discussion of the likely future direction that the field will take, and an up-to-date bibliography. Chapters include a treatment of the evolution of the PP family of genes, the structure of the NPY gene, and the distribution of NPY on the cardiovascular system, actions of NPY on the electrophysiological properties of nerve cells, and the effects of NPY on feeding and behavior. The chapters are written in an accessible style and serve both as an introduction to the field and as an extensive and detailed treatment of the current state of knowledge.
Our original objective in writing this book was to demonstrate how the concept of the equation of motion of a Brownian particle — the Langevin equation or Newtonian-like evolution equation of the random phase space variables describing the motion — first formulated by Langevin in 1908 — so making him inter alia the founder of the subject of stochastic differential equations, may be extended to solve the nonlinear problems arising from the Brownian motion in a potential. Such problems appear under various guises in many diverse applications in physics, chemistry, biology, electrical engineering, etc. However, they have been invariably treated (following the original approach of Einstein and Smoluchowski) via the Fokker-Planck equation for the evolution of the probability density function in phase space. Thus the more simple direct dynamical approach of Langevin which we use and extend here, has been virtually ignored as far as the Brownian motion in a potential is concerned. In addition two other considerations have driven us to write this new edition of The Langevin Equation. First, more than five years have elapsed since the publication of the third edition and following many suggestions and comments of our colleagues and other interested readers, it became increasingly evident to us that the book should be revised in order to give a better presentation of the contents. In particular, several chapters appearing in the third edition have been rewritten so as to provide a more direct appeal to the particular community involved and at the same time to emphasize via a synergetic approach how seemingly unrelated physical problems all involving random noise may be described using virtually identical mathematical methods. Secondly, in that period many new and exciting developments have occurred in the application of the Langevin equation to Brownian motion. Consequently, in order to accommodate all these, a very large amount of new material has been added so as to present a comprehensive overview of the subject.
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