springer us jan 1994 (72 results)

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This is the second edition of a book that I hope continues to be of practical value. For counselling must always be that: practical. No amount of talking, on its own, can really make a difference if people do not end up doing something as a result of counselling. The practical thread remains an important one throughout this edition. Counselling Skills for Health Professionals is not just a 'how to do it' book: people are probably too complicated for that approach to be of much use. Counselling is never simply a matter of learning a range of skills which you then apply in a range of settings. In the end, counselling is about facing the person in front of you, listening to them carefully and then supporting them as they work through their problems. For many problems, there are no easy answers and counselling doesn't offer any 'quick fixes'. It is essentially a supportive process. There are many things it cannot do. It cannot change certain social and political situations. It cannot cure diseases. On the other hand, what it can do is offer people more hope. Often, just the fact that there is somone who is prepared to hear your story and to listen to you is all that is needed. I remain convinced that the key issue in all types of counselling is the ability to listen. 276 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This is the first book to cover the Global Marine Distress and Safety System (GDMSS) in a comprehensive and readable way. GDMSS is now being developed to provide a new global communications and locating network to alert search and rescue services, and all students of navigation or maritime technology, and practising navigation officers, will need to be trained in its use. This accessible reference textbook provides students and new radio operators with all the knowledge necessary for a complete understanding of GMDSS and its related systems. 320 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -In the last decade the world has witnessed a frightening surge in mass murders and serial killings. This rash of multiple murders - in the sheer number of body counts and volume of blood spilled - has shocked civilized society. With each new discovery of another serial killer, the level of brutality and gore seems to sink us even deeper into the abyss of inhumanity. Why this sudden proliferation of multiple murders, be they the bloody trail of carnage of a serial murderer or the unexpected deadly explosion of a mass murderer What makes someone go on a murderous rampage How do serial killers and mass murderers differ Criminologists James Alan Fox and Jack Levin - the nationally renowned authorities on multiple murder - have led the field in investigating these phenomena for over a decade. In this absorbing work, they hold a magnifying glass to the minds of the perpetrators of these hideous crimes to explain the seemingly inexplicable. They produce profiles of the kinds of people who follow these murderous paths and examine the reasons behind their vicious acts. They also describe the latest law enforcement methods used to track down these heinous killers. What could possibly motivate the seemingly ordinary - Jeffrey Dahmer - to lure victims to his home so he could drug, lobotomize, sexually assault, and then devour them What could explain why Daniel Rolling committed the horrifying and grisly murders of students at the University of Florida in Gainesville What could have motivated Joel Rifkin - avid gardener and 'boy next door' - to strangle victim after victim Did Colin Ferguson 'go berserk' when he emptied two cartridges of bullets into the bodies of his fellow passengers on theLong Island Railroad What could drive James Huberty to walk into a fast-food restaurant in southern California and cold-bloodedly murder the patrons in a stream of bullets - a not uncommon event these days. Fox and Levin probe these and other provocative questions as they explore why multiple-murder sprees are erupting not only with greater frequency, but in more gruesome ways, both here and abroad. The authors leave no stone unturned in examining the psychological, sociological, and biological explanations behind these savage misdeeds. They investigate what prompts some people from 'dysfunctional' families to become 'killers' on Wall Street while others become killers. This engrossing book is the culmination of years of original research as well as one-on-one interviews with mass and serial murderers. Because of the unparalleled breadth of its subject matter and its penetrating and thorough analysis, this groundbreaking work is destined to become a classic in the annals of criminology. 288 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware 352 pp. Deutsch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -The years between 35 and 65 should be rich and fulfilling, bursting with the very best life has to offer. Unfortunately, for too many people, a life review reveals a series of missed opportunities, bungled relationships, and personal misfortunes. The result is preoccupation with what might have been, not what is possible. To reach a profound sense of fulfillment, one must first comprehend the phases that make up the whole of life. The recent, cutting-edge science of adult development offers vital tools to gain knowledge of one's life. Dr. Colarusso - of the world's premier experts in this specialty - draws on the latest scientific concepts in this rapidly expanding field. Separating life into nine phases, he illustrates that only by relating our past and present to the future can we enhance our chances for fulfillment. As an eminent authority in the field of development, Dr. Colarusso calls on his 30 years of clinical experience to provide us with a thorough understanding of the changing biological, psychological, and environmental conditions that we face throughout our lives. He arms us with knowledge that will help us maximize the pleasures and avoid the pitfalls that each new phase of life brings - particularly the anxieties and disappointments of midlife. Guiding us through a wealth of facts, Dr. Colarusso shows us the smoothest and most direct paths to adult fulfillment. He demonstrates that an enriched, rewarding life is one in which the triumvirate of human experience - love, work, and play - are balanced. By learning from the concepts of this burgeoning science and the detailed case histories - including one of a 70-year-old grandmother - we find that it is never impossible ortoo late to achieve happiness and fulfillment. 324 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Til Wykes BACKGROUND The recent publication of several surveys on violence was the impetus for this book. The first was carried out in 1986 by the Health and Safety Commission Health Services Advisory Committee (1987). They conducted a comprehensive survey of the inddence of violence to 5000 workers in five separate health districts. The results from the 3000 people who eventually replied made many in the caring professions worried. One in 200 workers had suffered a major injury following a violent attack during the previous year and a further one in ten needed first aid following an assault. Other surveys also showed high risks: of sodal service staff, 6% had suffered an attack in the past 5 years (Saunders, 1987), and sodal workers were at even high er risk. 29% had been assaulted in the last 3 years (Rowett, 1986). In addition, 4% of general practitioners had experienced an attack resulting in injury in the past year (D'Urso and Hobbs, 1989). Clinical psychologists were also at risk - 53% had been assaulted at least once during their professional career and 18% in the past year (Perkins, 1991). Media reports of extreme violence seem to be the tip of the iceberg. Many staff are attacked and some of these attacks have serious physical or psychological consequences that interfere with the victim' s ability to return to their full working capadty. This loss of highly trained staff should be recognized by employers and the community. 276 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This is a timely book. The question of how to help people with challenging behaviour -and how to design and manage services so that staff, families and users feel that what should be done is being done - is at the top of the agenda. Failure to deal com petently with the issue results in disaffection, poor quality ser vices and a less than optimal quality of life for service users. Moreover, the credibility of services for all people with learning disabilities is intimately connected with how we cope with chal lenging behaviour, a point made recently by a Department of Health Working Group chaired by Jim Mansell (Department of Health, 1993). The book is welcome because it draws together what is known about the important questions from a British perspective, although, of course, most of the underlying issues have world wide relevance. The contributors, while all having a good deal of experience and authority, do not put forward simple portrayals of the problems, nor glib solutions, and this is one of the book's major strengths. Clarity in the field of challenging behaviour is sometimes elu sive. What is presented here forces the reader to confront argu ments in a rational and logical fashion. 344 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -The inspiration for much of my writing comes from my direct work with abused children and their families. However, I was prompted to write this book by my experiences as a lecturer in child protection training for a variety of pro fessional workers. I realized from the anxious questions asked and feelings expressed that, despite the fact that many professionals are unlikely to encounter a high incidence of child sexual abuse cases in the course of their careers, the subject is one that provokes considerable concern, confusion and distress. While front-line investigative personnet -such as child care social workers, specialist police officers, police surgeons and paediatricians -have a number of anxieties about working with child sexual abuse cases, they can usually avail themselves of specific training, detailed books and articles and the support of experienced colleagues to help sustain them through any difficulties. It is non-investigating workers on the periphery of child protection work, many of whom are health professionals, who are left feeling worried and vulnerable. They may encounter only one or two cases of child sexual abuse during their careers, and because the numbers they have to work with are small, their employers, perhaps understandably, are reluctant to give them any special training in child protection work. 308 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -The lure of drugs and alcohol is capturing today's youth in its fatal grip and may ultimately destroy our nation's future generations. The vicious cycle of abuse is one that parents, teachers, counselors, and other citizens decry on a daily basis. Dr. Thomas Milhorn, an expert on adolescent drug abuse, provides crucial information on all the major drugs of abuse - including depressants, narcotics, stimulants, cannabinoids, inhalants, steroids, and hallucinogens - and their lethal consequences. Dr. Milhorn contends that in order to confront the monster that is destroying our children's health and quality of life, we must first understand the psyche of drug and alcohol abusers and the natural progression of the disease of addiction. This respected physician and physiologist reveals the harmful combinations currently in vogue in the drug world and the shortand long-term effects they have on the body, and discusses ways to recognize and pinpoint the telltale signs of a user. He explores the question of why adolescents abuse drugs, as well as special issues affecting young female addicts. This powerful book also examines the fatal relationship between drugs and AIDS, and includes a brief history of AIDS, and lifesaving advice on AIDS prevention. Dr. Milhorn skillfully assesses the various inpatient and outpatient treatment choices. He realistically portrays the intense physical and emotional stages the user will pass through before becoming drug free, as well as the stresses placed upon families during the recovery process. As this valuable book relates, both parents and teachers have clearly defined roles, and each can use his or her own brand of influence to aid the adolescent on the journey back to a healthy mind and body. Finally, Dr. Milhorn presents a list of successful options available if a first treatment attempt should fail. We live in a society where 12-year-olds are budding alcoholics and children are bombarded in school hallways with solicitations to ex 412 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware 316 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Perhaps being old is like having lighted rooms Inside your head, and people in them, acting People you know, but can't quite name. Philip lArkin This book is about those very old people who have a great many memories but few friends left to share them with. It is about valuing and using their memories to enhance the quality of their lives, that is, about reminiscence work. Many professionals offer this help to older people, including nurses, social workers, occupational therapists and clinical psychologists, as do families and voluntary workers. Its elements can be incorporated into day-to-day contacts with older people or it may take place in more structured settings. The transitional period from mature middle age to dependent old age is neither distinct nor precise. It does not occur at an identifiable time, it may be prolonged and it may not be obvious to the old people or their families. Loss of autonomy; the inability to cope unaided with the tasks of daily living, and increasing physical and mental frailty probably signal the area of transition. The diminished self-confidence that some old people feel at this time may be compounded by personal loss and financial difficulties; enforced changes in their lifestyles may also add to their confusion. 160 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -valuable way of presenting information within the book and purposely sought. It is hoped that exposure to individual chapters within the book will encourage readers to consider issues and problems from perspectives other than the ones with which they are familiar and perhaps comfortable. The reader is then responsible for the considera tion, adoption or challenge to the content of any chapter. During the process of exploration of content, reference should always be made to its potential place within clinical practice and its influence upon the delivery of patient and family care. Although it is acknowledged that each A and E department is different and that the environment and local resources affect the translation of theory into practice, questioning and subsequent challenge of the environ ment, work issues and ideas should help the reader to widen the debate about nursing in A and E and its anticipated growth into the next century. The intended outcome of such analysis by the reader may be to challenge practice. Alternatively information presented within the book may support or enhance work currently being under taken within a number of A and E departments. With reference to the format, the book is not intended to be read from cover to cover. Instead the reader will find the book a valuable source of information that can be dipped into when required, a book where the sampling of arguments put forward by various contributors can be considered. 256 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware 212 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Weather, in all its variety and majesty, is both a source of Earth's awe-inspiring beauty and a powerful, threatening force. With the brilliant technological innovations of recent times, including lasers, satellites, and supercomputers, scientists have revolutionized the science of accurate weather prediction. As this intriguing work shows, the gap between the 'art' and science of forecasting is rapidly narrowing, and the day when we will have accurate weekly and monthly, even yearly, forecasts is quickly approaching. Jack Fishman and Robert Kalish, acclaimed authors of Global Alert: The Ozone Pollution Crisis, clearly and eloquently explain the makings of weather from everyday winds and precipitation to the worst weather disasters. They show how the power of weather still holds us at its mercy and affects us all. Perilous downdrafts, undetectable by airplane pilots, can hurl landing planes into the runway to their doom. Freezing blasts of snow and ice cause traumatic accidents on our streets. Deadly tornadoes descend from thunderclouds, uprooting trees, devastating farmers' fields, and ripping buildings from their very foundations. And hurricanes, the most awesome storms on Earth, smash into the coast with vicious strength - flooding entire cities, lifting houses out to sea, and flattening acres of forest and farmland. Within the decade, scientists will have made a quantum leap in the ability to make accurate, longrange forecasts. Fishman and Kalish show us the stunning capabilities of a new brand of technology that is bringing about a revolution in weather forecasting. Radar, penetrating deep into the most menacing stormclouds, allows us to 'see' the movement of raging winds so we canwarn endangered communities before catastrophe strikes. Imminent laser and satellite technology will soon circle our Earth and send clear images of developing storms that will help meteorologists make predictions with an accuracy undreamed of today. In addition to recent breakthroughs, this fascinating work also describes pioneering scientists throughout history who used great technological innovations, from the advent of the computer to rocketry, to further our knowledge of weather and climate. Meteorology has rapidly evolved into a cutting-edge science that has irrevocably increased our understanding of the Earth. This remarkable work shows us the force of weather in all its glory and danger. And it paves the way for the revolution in weather science that will lead us into the future. 296 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -After the primordial Earth produced the miracle of life, a remarkable and strange 'accident' soon came to pass. This accident was sex - a new creation that would irrevocably alter the course of life on our planet. This magnificent event would engender the multitude of life forms that have come to walk, swim, and fly upon this Earth. Dr. Maxwell takes us on an eye-opening tour of the bizarre, fascinating, infinitely diverse world of sexual relations. From single-celled organisms to human beings, Maxwell unlocks the secrets of survival, describing in rich detail the matings, meetings, and sexual make-ups of a generous sampling of land and sea creatures. The story of sex can be startling and savage: the female firefly uses her glowing lantern to lure male fireflies of related species by flashing the other species' mating code; the males are no good as mates but they make a delicious meal. Maxwell's story also includes an in-depth look at the uniqueness of human sexuality - he reveals why human beings, inheritors of an unusual collection of sexual traits, are considered the 'sexiest' of the primates. The sex imperative - the irresistible impulse to engage in sexual relations - has enabled animals to share their genes and evolve. Maxwell traces the progress of sex from the simple sharing of genes between cells to the elaborate courtship rituals that developed so sperm could merge with egg. In the effort to join sperm and egg, species have developed some astounding and unusual sexual adaptations. As Maxwell vividly describes the sex lives of various creatures, he attests to the resiliency and amazing adaptability of life to its everchanging environment. By focusing on the diversity of animalsexual relationships, Maxwell enables us to question the very basis of sexuality: What is sex Why did it evolve How does sexuality and survival shape the social behavior of animals and humans The sex imperative is indeed the driving force behind Darwin's theory of random variation and natural selection, better known as 'survival of the fittest'. Maxwell goes so far as to investigate our latest accomplishment in the science of begetting offspring: genetic engineering. This awe-inspiring and unique work celebrates the power and wonder of life and sexuality of all creatures - including humans. After reading this engrossing and illuminating work, no one will ever think of evolution in the same way. 336 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -There has been a tremendous growth of interest in the human voice and its disorders during the past decade. This has led to the development of a variety of 'voice labs' or 'voice clinics' that are able to offer unique interdisciplinary assessment and treatment facilities. To cover aJlthe bases, the voice care team requires input frorn laryngology, speech-language pathology, psychiatry, neurology, voice science, music pedagogy, biomedical engineering and other peripheral fields. Because of the multidisciplinary nature of voice dinics there have been a number of books written that address our subject from different professional perspectives. These tend to be multi-authored works that draw on expertise from around the world, such as alaryngologist frorn New York, a speech pathologist from Toronto, etc. All are coJleagues that share similar interests but never actually share the management problems of the same patients. This book has been planned and written by the members ofa single 'voice clinic'iIt is our hope that it willreflect a singleness of direction and purpose in the way it presents our approach to a complex topic. Because of our regular interactive meetings over problem patients inwhich we debate the meaning of our observations, the evolution of etiological dassification systems, and the rationale for particular therapy approaches, we feel that we have become a team that is greater than the sum of its parts, and that there is value in sharing our cumulative thoughts with others. This is not simply a laryngology text for laryngologists. 284 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Seclusion as a concept is poorly understood and this is reflected in the literature on the topic, particularly from nursing authors. This has led to an emotionally charged altercation rather than academic debate, both within the literature and at conferences. But why bother learning about seclusion at all, particularly as it is used less and less within mental health We would point out to those sceptical about the value of this book that seclusion is not only of interest as an intervention per se, but is valuable in reflecting a shifting ethos within care. For some reason, seclusion has been neglected; we believe that one reason is that it impinges upon widely held myths and beliefs within psychiatric practice. Questioning about seclusion uncovers uncomfortable facts and assumptions concerning the values underpinning today's mental health care approaches. Such uncomfortable questioning is often avoided for safer research pursuits. Also, we hold that this book is necessary in examining issues pertaining to seclusion practice. There is a gap within nursing knowledge in so far as seclusion is concerned, as our chapter on education upholds. Yet inquiries and litigation have highlighted the fact that seclusion practice must be more clearly understood as an intervention. At present, such understanding is erratic and far from useful in providing a higher standard of care. Practitioners need to make informed decisions regarding seclu sion, and this book aims to provide the necessary information on which to base these decisions. 208 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -David Levy--one of the world's foremost amateur astronomers--co-discovered the periodic comet Shoemaker-Levy 9. He describes in dramatic detail the thrilling yet often devastating effects of comet collisions. 304 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware 332 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Jeffrey Merrill has written a penetrating and lucid analysis of American health care, one that illuminated both the myths and realities associated with our patchwork system. He annunciates six principles for achieving universal coverage and cost control that could be implemented by drawing on the experience of other developed countries, yet accomplished in a uniquely American way. 324 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This book will support the developments in general practice by introducing subjects that influence health care. Although the term practice nurse is used throughout the text, community health care nurse could equally apply as the editors recognize that much of the material covered is valuable to any nurse who works in the discipline of community health. Health itself is multifaceted and the contents of this book have been carefully chosen to serve as an introduction to areas of health care that are likely to be new to the majority of readers. The chapters therefore can be viewed as a comprehen sive text but each is sufficiently detailed to accommodate a specific framework for its subject area that should provide the basis for competent working knowledge. Hopefully readers will feel inspired to build on the work in these chapters and there is a wealth of specialized and detailed knowledge available in the colleges of higher education, nursing, medical and public libraries that provides material for further reading. 240 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -There are many books on the care of the sick infant and some are excellent. Most, however, are written with medicine in mind. This book is written mainly by experienced neonatal nurses, although some chapters have been written by the appropriate specialists. lt is intended primarily for nurses who Iook after sick infants and is not intended to be an exhaustive reference but to address some of the issues and concepts of neonatal care in the 1990s. Nursing models are an important part of neonatal care in the 1990s but this book has not been written within this framework. There are several reasons for this: arguably no current model is ideally suited to neonates and the favouring of one particular model might restriet the book's applicability. Also, as contributors from other disciplines were invited to contribute we were anxious that these chapters did not stand out as oddities. Additionally, much neonatal care overlaps and were a framework to be used in its entirety for each nursing care chapter we feit that there could be some repeti tion; conversely, if a framework was fragmented in some chap ters to cover specific areas of care, we were concemed that the overall effect would have been 'bitty'. We feit that such treat ment of nursing models would have been unjustifiable. In this book, the terms 'infant' and 'baby' are used inter changeably and where the term 'he' is used, the term 'she' is equally appropriate. 424 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware 420 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -The story of numbers is a rich, sweeping history that shows how our mathematical achievements contributed to the greatest innovations of civilization. Calvin Clawson, acclaimed author of Conquering Math Phobia, weaves a story of numbers that spans thousands of years. As Clawson so clearly shows, numbers are not only an intrinsic and essential thread in our modern lives, but have always been an integral part of the human psyche - knit into the very fabric of our identity as humans. Clawson travels back through time to the roots of the history of numbers. In exploring early human fascination with numbers, he unearths the clay beads, knotted ropes, and tablets used by our ancestors as counting tools. He then investigates how numeric symbols and concepts developed uniquely and independently in Meso-America, China, and Egypt. As he persuasively argues, the mathematical concepts that arose and flourished in the ancient world enabled the creation of architectural masterpieces as well as the establishment of vast trade networks. Continuing the journey, Clawson brings us to the elegant logic of numbers that soon came to distinguish itself as a discipline and the language of science. From the concepts of infinity contemplated by the Greeks to the complex numbers that are indispensable to scientists on the cutting edge of research today, Clawson breathes life and meaning into the history of great mathematical mysteries and problems. In this spirit of inquiry, he explores, in their times and places, the discovery of numbers that lie outside the province of counting, including irrational numbers, transcendentals, complex numbers, and the enormous transfinite numbers. The personalities and thecreative feats surrounding each mathematical invention come alive vividly in Clawson's lucid prose. In this work of breathtaking scope, Clawson guides us through the wonders of numbers and illustrates their monumental impact on civilization. 320 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -ABOUT THIS BOOK For the last 40 years nursing research has been struggling to establish its theoretical roots and legitimate place within the wider arena of research in the health sciences. Overshadowed by the medical endeavour, both resources and support have been meagre. Initially this medical hegemony also restricted the range of research designs by favouring the quantitative approaches that have formed the backbone of much clinical research. However, despite these restrictions, nursing research has developed a particular diversity which matches the eclec ticism of the discipline itself. Nursing and nurses have rapidly recognized that health-related research problems often require a multi-faceted approach that can be realized most effectively through multi-disciplinary activities. Not unexpectedly, however, individual researchers have frequently remained entrenched in the particular methodologies with which they are familiar and have only reluctantly (and perhaps wisely) ventured beyond these. In contrast, the aim of this book has been to gather together material that reflects the diversity and richness of research in nursing. To juxtapose different designs springing from different epistemologies, with the aim of stimulating a more holistic approach. It hopes to provide readers with an understanding of nursing research through a consideration of the issues involved. 244 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -The first edition of this book was suggested by Tom Arie, Professor of Health Care of the Elderly at the University of Nottingham. The seven years since the first edition of this book have seen a revolution in the way that Health Services in the United Kingdom are organized. One of the original co-authors, Mike Church, has moved on through several NHS posts to independent practice in the area of management consultancy. He has been replaced by Carol Martin, a lecturer in the Psychology of Old Age in our department. In addition to the changes in the NHS there has been an explosion in the knowledge base of old age psychiatry, with several journals now devoted to the subject. A new diagnostic classificatory system (ICD10) has also been launched. In preparing this second edition, we have tried to remain true to the spirit of the first edition, whilst incorporating new knowledge and the changing context of our practice. Throughout the text we have used the terms 'patient' and 'client' interchangeably. The people we serve are the same whatever we call them! We have also, generally, but not always referred to patients in the female gender, since this reflects the fact that more women than men survive into old age. We have ordered the book so that the basic background information and skills in approaching the problems of old age are dealt with first. 268 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -I have watched with growing concern the slow progress in matching new knowledge to clinical practice. In fact, as more research is undertaken and the frame of reference opens out to encompass the wealth of related, but hitherto neglected, issues, the gulfs are widening between academic 'researcher', 'specialist', 'practitioner' and the patient. As a member of the British Stroke Research Group, the British Society of Gerontology and relevant special interest groups of my own profession, and as a clinical practitioner specializing in, and teaching, stroke rehab ilitation, the need to bridge these gaps becomes increasingly urgent. This book endeavours to provide some of the missing links in a logical format designed for all medical and related health care professionals, and yet which does not exclude other interested readers. Don't skip the Intro duction, it answers some of the obvious questions and explains the layout and language. My thanks go to all the stroke-survivors, and their families and friends, who taught me to question myself and my treatments, and to the many sources of expertise with whom I work or to whom I looked for their enlightened and specialized experience. 308 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -This book intends to act as a resource for those caring for children. The children I nursed who experienced pain are the stimulus for both my interest in the issue of pain and latterly in writing this book. Some of the children I cared for stand out as milestones in terms of provoking thought and in questioning practice -James, Ralph and Felicity. These children were tough and brave and taught me a lot about the human aspect of pain and suffering. However, as children, especially vulner able children in hospital, they would not have had to have been as tough or as brave if! had been more knowledgeable about practice issues such as distraction, imagery, massage and so on or had a better understanding of the complexity of pain. Nursing should add to a child's life. By developing knowledge and skills within pain management and prevention nurses are in a strong position to ensure that they, the child and their family are in control of the pain and that the pain is not in control of the child. Developing these skills is ultimately rewarding both personally and professionally and nurses should be encouraged to scrutinize their practice carefully and identify areas where improvements could be made. Listening carefully to what children and their families say about their pain and in identifying the needs of the individual child is an essential part of holistic and comprehensive nursing care. 164 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Scientists have speculated as to the nature of cerebrospinal fluid (CSF) - 'the third circulation' or 'vital spirit' for centuries. Just what is this mysterious bathing solution of the central nervous system Is it a vehicle of transport for an 'animal spirit' directing all our activities, as thought by Galen (Singer, 1956) or but a 'modified tap water' (Halliburton, 1917) With the advent of lumbar puncture, cerebrospinal fluid has become a readily available and important means of studying disease affecting the nervous system. In recent years, many sophisticated tools including com puter guided gas chromatography/mass spectrometry and high performance liquid chromatography have made it possible to identify and quantify many constituents of this fluid. The CSF has an enormous, though largely 'untapped', potential in aiding diagnosis and evaluating treatment of many neurological, psychiatric and systemic disorders. As the ependyma is only a diffusional barrier between the CSF and extracellular fluid of the brain for many compounds, changes in the concentration of these compounds in the CSF may reflect disease processes in the brain. 340 pp. Englisch.

Taschenbuch. Condition: Neu. This item is printed on demand - it takes 3-4 days longer - Neuware -Although quality initiatives and management skills are not new issues in hospitals, their financial evaluation may be a source of pressure to those managing clinical directorates. This A-Z reference provides an immediate source of ideas and includes practical examples. It covers 100 quality issues, from pets and pillows to staff management and training. The work takes account of the varied backgrounds from which the clinical directors may come. The up-to-date information contained in this text should be of use to health care managers in hospitals. 176 pp. Englisch.