Care to Tango?, Bk 1

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Author :
Publisher : Alfred Music Publishing
ISBN 13 : 9780739050996
Total Pages : 124 pages
Book Rating : 4.0/5 (59 download)

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Book Synopsis Care to Tango?, Bk 1 by :

Download or read book Care to Tango?, Bk 1 written by and published by Alfred Music Publishing. This book was released on 2008-05 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: The music for Michael McLean's popular album Care to Tango? is now available in two collections -- Care to Tango? Book 1 and Care to Tango? Book 2. Book 1 is for two or three violins and piano, while Book 2 is for two violins and piano. These fun arrangements give violinists the chance to play in different styles. Each book contains the score with brief explanations about each piece, violin parts as separate inserts, and the recording. This series will invigorate your ensemble! Titles: 1. Tango 2. Rhumba 3. Csardas 4. Serenata 5. Slavonic Dance 6. Hungarian Dance #5 7. Tango El Choclo"."

Care to Tango?, Bk 2

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Author :
Publisher : Alfred Music Publishing
ISBN 13 : 9780739051009
Total Pages : 120 pages
Book Rating : 4.0/5 (51 download)

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Book Synopsis Care to Tango?, Bk 2 by :

Download or read book Care to Tango?, Bk 2 written by and published by Alfred Music Publishing. This book was released on 2008-05 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt: The music for Michael McLean's popular CD Care to Tango? is now available in two collections -- Care to Tango? Book 1 and Care to Tango? Book 2. Book 1 is for two or three violins and piano, while Book 2 is for two violins and piano. These fun arrangements give violinists the chance to play in different styles. Each book contains the score with brief explanations about each piece, violin parts as separate inserts, and the CD. This series will invigorate your ensemble! Titles: 1. Fandango 2. Tango La Cumparsita" 3. Hungarian Dance #1 4. Bolero 5. Fantomen 6. Sincilenne 7. Tarantella."

Textbook of Critical Care E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323759300
Total Pages : 2078 pages
Book Rating : 4.3/5 (237 download)

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Book Synopsis Textbook of Critical Care E-Book by : Jean-Louis Vincent

Download or read book Textbook of Critical Care E-Book written by Jean-Louis Vincent and published by Elsevier Health Sciences. This book was released on 2022-12-21 with total page 2078 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridging the gap between medical and surgical specialties in critical care, Textbook of Critical Care, 8th Edition, offers a practical, multidisciplinary approach to the effective management of adult and pediatric patients in the ICU. An outstanding editorial team, led by world-renowned intensivist Dr. Jean-Louis Vincent, assisted by Dr. Frederick A. Moore and new editors Drs. Rinaldo Bellomo and John J. Marini, provides the evidence-based guidance you need to overcome a full range of practice challenges. A full-color art program, relevant basic science and key summary points in every chapter, and expert contributing authors from all over the world make this an indispensable resource for every member of the critical care team. Provides a concise, readable understanding of the pathophysiology of critical illness and new therapeutic approaches to critical care. Addresses both medical and surgical aspects in critical care for adult and pediatric patients in one comprehensive, easy-to-use reference. Shares the knowledge and expertise of the most recognized and trusted leaders in the field, with more international contributing authors than in previous editions. Covers new information on procedural and diagnostic ultrasound, prone positioning, ECMO, and VADs. Discusses key topics such as organ support, telemedicine, echocardiography, antibiotic stewardship, antiviral agents, coagulation and anti-coagulation, and more. Features a wealth of tables, boxes, algorithms, diagnostic images, and key points that clarify important concepts and streamline complex information for quick reference. Includes companion videos and exclusive chapters online that cover commonly performed procedures. Takes a multidisciplinary approach to critical care, with contributions from experts in anesthesia, surgery, pulmonary medicine, and pediatrics.

Taylor and Hoyt's Pediatric Ophthalmology and Strabismus

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702082996
Total Pages : 1259 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Taylor and Hoyt's Pediatric Ophthalmology and Strabismus by : Christopher J. Lyons

Download or read book Taylor and Hoyt's Pediatric Ophthalmology and Strabismus written by Christopher J. Lyons and published by Elsevier Health Sciences. This book was released on 2022-05-17 with total page 1259 pages. Available in PDF, EPUB and Kindle. Book excerpt: Providing foundational knowledge and expert guidance on the complete spectrum of childhood eye disorders and strabismus, Taylor and Hoyt's Pediatric Ophthalmology and Strabismus, 6th Edition, remains the #1 reference of choice for practicing and trainee pediatric ophthalmologists. Edited by global leaders in the field, Drs. Christopher J. Lyons and Scott R. Lambert, this newly revised volume offers authoritative coverage of all the pediatric ophthalmic conditions you’re likely to encounter in practice, including the latest clinical advances in etiology, diagnosis, and medical and surgical management. Comprehensive updates, as well as new chapters, images, and video clips, make this well-regarded title the most current and complete reference available in this evolving field. Offers state-of-the-art coverage of key areas such as OCT and current imaging techniques for the eye, orbit and visual pathways; anti-VEGF treatment for retinopathy of prematurity; pediatric cataracts; childhood glaucoma; and minimally invasive strabismus surgery. Contains five new chapters covering Imaging the Child’s Eye, Aniridia Syndromes, Mitochondrial Disorders, Neurofibromatosis Type 1 and 2, and Myasthenia Gravis. Includes a unique "practical problems" section designed to help you handle difficult patient situations and a "how to" perform strabismus surgery chapter with extensive step-by-step illustrations for complete visual guidance. Features more than 1,800 high-quality images and illustrations, including 600 new to this edition, that provide visual guidance in diagnosis and management. Provides access to more than 50 narrated instructional video clips (nine are new!) depicting multiple diagnostic and surgical techniques, including the insertion of prosthetic eyes, lensectomy, pediatric cataract extraction, complications during strabismus surgery, goniotomy, the removal of conjunctival tumors, and more.

Clinical Reasoning in the Health Professions E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0702065056
Total Pages : 532 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Clinical Reasoning in the Health Professions E-Book by : Joy Higgs

Download or read book Clinical Reasoning in the Health Professions E-Book written by Joy Higgs and published by Elsevier Health Sciences. This book was released on 2018-10-15 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical reasoning lies at the core of health care practice and education. Clinical Reasoning in the Health Professions, therefore, occupies a central place in the education of health professionals, the enhancement of professional decision making of individuals and groups of practitioners with their clients, and research into optimal practice reasoning. All chapters updated and 20 new chapters added Concrete examples, cases and vignettes were added to bring discussions to life for the reader Reflection points strategically placed to assist readers to extend their insights and build learning from their own practical experiences and theoretical knowledge Devices of particular value to reflective practitioners and educators All chapters updated and 20 new chapters added Concrete examples, cases and vignettes were added to bring discussions to life for the reader Reflection points strategically placed to assist readers to extend their insights and build learning from their own practical experiences and theoretical knowledge Devices of particular value to reflective practitioners and educators.

Degeneration (Degeneration Book 1)

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Author :
Publisher : Permuted Press
ISBN 13 : 1682610659
Total Pages : 396 pages
Book Rating : 4.6/5 (826 download)

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Book Synopsis Degeneration (Degeneration Book 1) by : Mark D. Campbell

Download or read book Degeneration (Degeneration Book 1) written by Mark D. Campbell and published by Permuted Press. This book was released on 2015-11-24 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt: The accidental release of a terrifying biological weapon creates a zombie epidemic and Richard, a mentally-ill man, is caught in the midst of the outbreak. To save his brother, Richard must make his way through the post-apocalyptic landscape of Raleigh, North Carolina. With the odds stacked against him and his psychiatric medication depleted, can he maintain his fragile sanity long enough to save himself and the brother he loves?

Management of Cancer in the Older Patient E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455723134
Total Pages : 310 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Management of Cancer in the Older Patient E-Book by : Arash Naeim

Download or read book Management of Cancer in the Older Patient E-Book written by Arash Naeim and published by Elsevier Health Sciences. This book was released on 2011-08-17 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Management of Cancer in the Older Patient, by Drs. Arash Naeim, David Reuben, and Patricia Ganz, offers the help you need to effectively diagnose, refer, and manage cancer in geriatric patients. You’ll see how to provide effective cancer screening; refer your patients to the right oncologist; deal with comorbidities, frailties, and other complications; navigate end-of-life issues; and much more. A templated, user-friendly format makes it easy to find and apply the answers you need. See how to best manage geriatric cancer patients with help from leading specialists in both geriatrics and oncology Make informed decisions as to when to refer patients to specialists. Provide the supportive care your patients and their families need on issues such as such as mental health, pain, fatigue, nausea, insomnia. Be prepared to help cancer survivors navigate their after-treatment care including adjuvant therapy, side effects, second cancers, quality of life, and other concerns. Offer accurate guidance on ethical issues like competency, end of life, hospice, the role of the caregiver, and more.

The Green Book Magazine

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Author :
Publisher :
ISBN 13 :
Total Pages : 1100 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Green Book Magazine by :

Download or read book The Green Book Magazine written by and published by . This book was released on 1913 with total page 1100 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Global Tangos

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Author :
Publisher : Bucknell University Press
ISBN 13 : 161148653X
Total Pages : 253 pages
Book Rating : 4.6/5 (114 download)

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Book Synopsis Global Tangos by : Melissa A. Fitch

Download or read book Global Tangos written by Melissa A. Fitch and published by Bucknell University Press. This book was released on 2015-02-25 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: Global Tangos: Travels in the Transnational Imaginary argues against the hackneyed rose-in-mouth clichés of Argentine tango, demonstrating how the dance may be used as a way to understand transformations around the world that have taken place as a result of two defining features of globalization: transnationalism and the rise of social media. Global Tangos demonstrates the cultural impact of Argentine tango in the world by assembling an unusual array of cultural narratives created in almost thirty countries, all of which show how tango has mixed and mingled in the global imaginary, sometimes in wildly unexpected forms. Topics include Tango Barbie and Ken, advertising for phone sex, the presence of tango in political upheavals in the Middle East and in animated Japanese children’s television programming, gay tango porn, tango orchestras and composers in World War II concentration camps, global tango protests aimed at reclaiming public space, the transformation of Buenos Aires as a result of tango tourism, and the use of tango for palliative care and to treat other ailments. They also include the global development of queer tango theory, activism, and festivals. Global Tangos shows how the rise in social media has heralded a new era of political activism, artistry, solidarity, and engagement in the world, one in which virtual global tango communities have indeed become very “real” social and support networks. The text engages some key concepts from contemporary critics in the fields of tourism studies, geography, dance studies, cultural anthropology, literary studies, transnational studies, television studies, feminism, and queer theory. Global Tangos underscores the interconnectedness of cultural identity, economics, politics, and power in the production, marketing, distribution, and circulation of global images related to tango—and, by extension, Latin America—that travel the world.

Core Curriculum for Oncology Nursing E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323608620
Total Pages : 576 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Core Curriculum for Oncology Nursing E-Book by : ONS

Download or read book Core Curriculum for Oncology Nursing E-Book written by ONS and published by Elsevier Health Sciences. This book was released on 2019-10-09 with total page 576 pages. Available in PDF, EPUB and Kindle. Book excerpt: The only OCN® Exam review developed in collaboration with the Oncology Nursing Society (ONS), the Core Curriculum for Oncology Nursing, 6th Edition is the must-have OCN® certification review resources. This essential guide covers the entire scope of practice for oncology nursing and reflects important changes in the dynamic field of cancer treatment and care. The thoroughly revised sixth edition follows the latest test blueprint for the OCN® Exam and is presented in a streamlined outline format to help you focus on the most important information. Recognized as the definitive resource for concepts and practice in oncology nursing, this is the #1 review tool when preparing for OCN® certification! This definitive study resource for the OCN® Examination is the only such resource developed in collaboration with and endorsed by the Oncology Nursing Society. Coverage of the entire scope of oncology care includes quality of life, protective mechanisms, gastrointestinal and urinary function, cardiopulmonary function, oncologic emergencies, the scientific basis for practice, health promotion, and professional performance. Consistent outline format provides a quick-reference review that begins with theory and continues through the steps of the nursing process. Emphasis on QSEN competencies is designed to reduce errors, with a focus on safety and evidence-based practice including Safety Alerts for cancer chemotherapy drugs. Updates on cancer treatment and related nursing care include the most current and accurate information, preparing you for the OCN exam and for enhanced clinical practice. NEW! Content has been updated throughout to reflect the most recent Oncology Nursing Society (ONS) role delineation study, the latest OCN® Examination test blueprint, and important findings in cancer treatment and related nursing care, backed by the latest research evidence. NEW! Chapters reflect the latest ONS information on nurse navigation, communication and shared decision-making, precision medicine, immunotherapy, cognitive and endocrine symptoms, and compassion fatigue. NEW! Enhanced use of color in tables, boxes, and outlines improves visual appeal and learning.

Sperling Pediatric Endocrinology

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323625215
Total Pages : 1075 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Sperling Pediatric Endocrinology by : Mark A. Sperling

Download or read book Sperling Pediatric Endocrinology written by Mark A. Sperling and published by Elsevier Health Sciences. This book was released on 2020-07-22 with total page 1075 pages. Available in PDF, EPUB and Kindle. Book excerpt: An ideal resource for both pediatricians and endocrinologists, Sperling’s Pediatric Endocrinology, 5th Edition, brings you fully up to date with accelerating research; new discoveries in metabolic, biochemical and molecular mechanisms; and the resulting advances in today’s clinical care. The editorial team of world-renowned pediatric endocrinologists led by Dr. Mark Sperling, as well as expert contributing authors, cover comprehensive and current aspects of both basic science and clinical practice. Whether you’re preparing for certification or have extensive clinical experience, this detailed, authoritative reference helps you increase your knowledge and determine the best possible course for every patient. Delivers trusted guidance in every area of the field: including Endocrine Disorders of the Newborn, Endocrine Disorders of Childhood and Adolescence, and Laboratory Tests. Features new topics such as transgender issues in children and adolescents and endocrinology of pregnancy, the fetus and the placenta. Offers expert coverage of hot topics such as disorders of sexual development, molecular basis of endocrine disorders, hypoglycemia in newborns and infants; neonatal and other monogenic forms of diabetes; Type I and Type II diabetes and their treatment with new insulins together with the progress in an artificial pancreas and new medications for T2DM in adolescents; the obesity epidemic and role of bariatric surgery; and advances toward personalized medicine. Includes easy-to-follow algorithms and numerous quick-reference tables and boxes in every clinical chapter, plus interactive questions online for self-assessment. Offers state-of-the-art information and fresh perspectives from new and award-winning authors in such areas as disorders of growth, multiple endocrine tumors, and puberty and its disorders in girls and boys.

Laboratory and Diagnostic Testing in Ambulatory Care E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323532896
Total Pages : 320 pages
Book Rating : 4.3/5 (235 download)

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Book Synopsis Laboratory and Diagnostic Testing in Ambulatory Care E-Book by : Martha (Marti) Garrels

Download or read book Laboratory and Diagnostic Testing in Ambulatory Care E-Book written by Martha (Marti) Garrels and published by Elsevier Health Sciences. This book was released on 2018-08-07 with total page 320 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn to master the latest lab testing techniques! Ideal for Medical Assisting and Medical Laboratory Technician programs, Laboratory and Diagnostic Testing in Ambulatory Care: A Guide for Healthcare Professionals, 4th Edition, covers the procedures and techniques of commonly used and new CLIA-waived, point-of-care tests, along with some moderately complex tests. Clear, step-by-step instructions and nearly 600 full-color photographs make it easy for you to learn each test and procedure. This edition includes a focus on new technology and the resulting significant advancements in testing.. Expanded coverage of electrocardiography and spirometry reflect the expanding roles of Medical Assistants and Medical Laboratory Technicians. Review questions in the book are accompanied by practice quizzes and videos online to help you master content and hone skills. Comprehensive coverage of the most common CLIA-waived tests prepares you for laboratory testing in the ambulatory setting. A triad organization gives chapters a consistent, easy-to-follow format, with 1) fundamental concepts, 2) step-by-step instructions for CLIA-waived procedures, and 3) advanced concepts help hone your critical-thinking and decision-making skills. Procedure boxes provide step-by-step instructions and full-color photos and illustrations for today’s commonly requested CLIA-waived lab tests. NEW! Content coverage of the latest CLIA-waived and moderately complex testing (including automated CBCs and automated chemistries) and the significant technological advancements NEW! Chapter quizzes online help you ensure comprehension and prepare for classroom and certification exams. UPDATED art program with more than 100 new and updated images that showcase new technology and the lab testing steps and techniques.

American Book Publishing Record

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Author :
Publisher :
ISBN 13 :
Total Pages : 2068 pages
Book Rating : 4.F/5 ( download)

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Book Synopsis American Book Publishing Record by :

Download or read book American Book Publishing Record written by and published by . This book was released on 2002 with total page 2068 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Hematology: Diagnosis and Treatment E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455776882
Total Pages : 2789 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Hematology: Diagnosis and Treatment E-Book by : Ronald Hoffman

Download or read book Hematology: Diagnosis and Treatment E-Book written by Ronald Hoffman and published by Elsevier Health Sciences. This book was released on 2013-03-29 with total page 2789 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hematology: Diagnosis and Treatment eBook is the ideal mobile resource in hematology! It distills the most essential, practical information from Hematology: Basic Principles and Practice, 6th Edition - the comprehensive masterwork by Drs. Hoffman, Benz, Silberstein, Heslop, Weitz, and Anastasi - into a concise, clinically focused resource that's optimized for reference on any e-reader. Focusing on the dependable, state-of-the-art clinical strategies you need to optimally diagnose and manage the full range of blood diseases and disorders, this eBook is a must-have for every hematologist's mobile device! Apply the latest know-how on heparin-induced thrombocytopenia, stroke, acute coronary syndromes, hematologic manifestations of liver disease, hematologic manifestations of cancer, hematology in aging, and many other hot topics. Get quick, focused answers on the diagnosis and management of blood diseases - in a portable digital format that you can carry and consult anytime, anywhere. View abundant images that mirror the pivotal role hematopathology plays in the practice of modern hematology. Count on all the authority that has made Hematology: Basic Principles and Practice, 6th Edition, edited by Drs. Hoffman, Benz, Silberstein, Heslop, Weitz, and Anastasi, the go-to clinical reference for hematologists worldwide. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices.

California Dreaming (The Davenports, Book 1)

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Author :
Publisher : Carmel Oak Press
ISBN 13 :
Total Pages : 309 pages
Book Rating : 4.8/5 (95 download)

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Book Synopsis California Dreaming (The Davenports, Book 1) by : Bella Andre

Download or read book California Dreaming (The Davenports, Book 1) written by Bella Andre and published by Carmel Oak Press. This book was released on 2024-02-01 with total page 309 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meet the Davenport family! Six brothers and sisters who call picturesque Carmel-by-the-Sea home. Successful, brilliant, and passionate, the only thing they all still need is the perfect partner in love and life. Hotshot movie star Archer Davenport has never met a stunt he couldn’t ace, a challenge he couldn’t overcome, or a woman he couldn’t have. When he breaks his leg during a dangerous stunt, the production company insists on hiring a live-in caretaker for him. He refuses the help…until he meets Tessa Taylor. She’s not only caring and beautiful, she’s also as tough on him as a drill sergeant. Tessa knows all about confident men. She used to be married to one and that didn’t go well. Her only solace is her painting, even if she has no talent, as her late husband always claimed. Her biggest problem on this job, however, is that sexy, magnetic Archer makes her toes curl with desire every time he’s near. She does everything she can to try to remain professional. But it gets harder and harder every day as she starts to fall for him—and for his amazing family—even though she knows she’ll have to leave him for her next client as soon as he’s fully recovered. Arch, however, has no plans to let Tessa disappear once his leg is fully recovered. In fact, as the sparks between them grow hotter and hotter, he’s determined to show Tessa that she’s not only the most incredible and loving woman he’s ever known, she’s also the most talented. And when a Davenport gives their heart away, it’s forever. THE DAVENPORTS California Dreaming California Waves California Sunsets *** More Davenports are coming soon! *** CALIFORNIA DREAMING is part of New York Times and USA Today bestselling authors Bella Andre and Nicky Arden's new emotional and sexy contemporary romance series. While it can easily be read as a stand-alone story, you'll likely enjoy reading the other books too. ABOUT THE AUTHORS Bella Andre is the New York Times, USA Today, Publishers Weekly and Wall Street Journal bestselling author of “The Sullivans”, “The Maverick Billionaires”, "The Davenports" and the "Married in Malibu" series. Her novels have been #1 bestsellers around the world and she has sold more than 10 million books so far! Known for "sensual, empowered stories enveloped in heady romance" (Publishers Weekly), her books have been Cosmopolitan Magazine "Red Hot Reads" twice and have been translated into ten languages. There are more than 50,000 5 star reviews for Bella Andre's books on Goodreads! Married with two children, Bella splits her time between the Northern California wine country, a log cabin in the Adirondack mountains of upstate New York, and a flat in London overlooking the Thames. Nancy Warren is the USA Today Bestselling author of mystery and romance who had sold more than 5 million books so far! She’s originally from Vancouver, Canada, though she tends to wander and has lived in England, Italy and California at various times. Favorite moments include being the answer to a crossword puzzle clue in Canada’s National Post newspaper, being featured on the front page of the New York Times when her book Speed Dating launched Harlequin’s NASCAR series, and being nominated three times for Romance Writers of America’s RITA award. She has an MA in Creative Writing from Bath Spa University. She’s an avid hiker, loves chocolate and most of all, loves to hear from readers! Yo

Wyllie's Treatment of Epilepsy

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Author :
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1451153481
Total Pages : 1040 pages
Book Rating : 4.4/5 (511 download)

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Book Synopsis Wyllie's Treatment of Epilepsy by : Elaine Wyllie

Download or read book Wyllie's Treatment of Epilepsy written by Elaine Wyllie and published by Lippincott Williams & Wilkins. This book was released on 2012-02-17 with total page 1040 pages. Available in PDF, EPUB and Kindle. Book excerpt: In one convenient source, this book provides a broad, detailed, and cohesive overview of seizure disorders and contemporary treatment options. For this Fifth Edition, the editors have replaced or significantly revised approximately 30 to 50 percent of the chapters, and have updated all of them. Dr. Wyllie has invited three new editors: Gregory Cascino, MD, FAAN, at Mayo Clinic, adult epileptologist with special expertise in neuroimaging; Barry Gidal, PharmD, at University of Wisconsin, a pharmacologist with phenomenal expertise in antiepileptic medications; and Howard Goodkin, MD, PhD, a pediatric neurologist at the University of Virginia. A fully searchable companion website will include the full text online and supplementary material such as seizure videos, additional EEG tracings, and more color illustrations.

Managing care pathways for patients with complex care needs

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Author :
Publisher : Linköping University Electronic Press
ISBN 13 : 9176850692
Total Pages : 55 pages
Book Rating : 4.1/5 (768 download)

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Book Synopsis Managing care pathways for patients with complex care needs by : Magdalena Smeds

Download or read book Managing care pathways for patients with complex care needs written by Magdalena Smeds and published by Linköping University Electronic Press. This book was released on 2019-05-15 with total page 55 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the central challenges for the healthcare system today is how to manage care for patients with complex needs. This patient group is not well-defined but covers patients with serious diseases and comorbidities, or with a limited ability to perform basic daily functions due to physical, mental or psychosocial challenges. This group has a high service and resource utilisation resulting in high costs for the healthcare system and, typically, poor health outcomes. To improve care for these patients, it is necessary to implement strategies to manage the differentiated care needs, the additional support needs, the uncertainty in care delivery, and the coordination needs of the involved providers and the patient. Care pathways are increasingly used internationally to make care more patient-centred and to structure and design care processes for individual patient groups. Important elements in care pathways include structuring care activities, by defining their content and sequence; coordinating between providers and professionals; and involving patients in their care process. In this thesis, care pathways are proposed as the overall strategy for managing care for patients with complex care needs. The purpose of this thesis is thus to contribute with knowledge on how care pathways can be managed for patients with complex care needs. This is achieved by analysing how the practices coordination, standardisation, customisation and personalisation can support management of care pathways and by discussing how these practices influence quality of care. The quality of care dimensions discussed are accessible, timely, equitable, and patient-centred care. The empirical context in this thesis is the Standardised Cancer Care Pathways (CCPs) which were implemented in Sweden from 2015 to 2018. CCPs is the umbrella term for the national initiative to shorten waiting times, decrease regional differences and reduce fragmentation in care processes. CCPs include elements such as diagnosis-specific pathways and guidelines, introduction of CPP coordinators, and mandatory reporting of waiting times. Focus has been on implementing care pathways for 31 cancer diagnoses in all Swedish healthcare regions. Both qualitative and quantitative research methods have been used. A case study was conducted to examine standardised and customised care pathways, and coordination and multidisciplinary work in care pathways. A document study of regional reports on CCPs was analysed to study effects of care pathways on accessibility, timeliness and equitability. Finally, a national survey was conducted to deepen the understanding of the role of coordination, as performed by coordinators, in care pathways. This thesis argues that standardised and customised care pathways should be combined to manage care for patients with complex care needs. The customised pathway in particular benefits patients with serious unspecific symptoms, unknown primary tumour or more complex care needs, while patients with care needs that can be treated independently of the main diagnosis benefit from following a standardised care pathway. Coordinators are an important means to manage coordination, customisation and personalisation in the care pathway. The coordinators’ role is twofold: the first role is to manage care pathways by customising the care pathway and coordinating involved providers; the second role is to support and guide patients through the care pathway. This can be achieved by adapting interpersonal communication with patients through personalisation. This thesis further argues that care pathways have most potential to positively influence accessibility, timeliness, equitability, and patient-centredness. Accessibility has been positively influenced, especially for patients with ambiguous symptoms where symptoms indicating cancer have improved their chances of accessing cancer diagnostics. A negative aspect of prioritising patients who follow CCPs has been the potentially longer waiting times for other patient groups in equal need of urgent care. Notwithstanding, prioritised access to care is perceived to positively influence timeliness for patients following CCPs. Care pathways are perceived to have positively influenced patient-centredness by shifting the focus from what to deliver to how to deliver it.