Elective Affinities

The book is the first of its kind to specifically outline the psycho-educational nursing interventions required by the anxious, adult patient undergoing elective, ambulatory surgery. Anxiety management is a considerable issue for the majority of surgical patients and has been recognised as such for many decades. However, no formal nursing intervention currently exists to support patients during this acute phase. This book is one of the first to provide strong evidence for the way in which patients can be assisted in the management of their anxiety. Moreover, it provides future direction for surgical nursing intervention in this new era of minimal invasive surgery where patients undergoing elective procedures increasingly require less physical nursing intervention and spend very little time within the acute hospital setting.

Cetaceans (whales, dolphins, and porpoises) have fascinated and bewildered humans throughout history. Their mammalian affinities have been long recognized, but exactly which group of terrestrial mammals they descend from has, until recently, remained in the dark. Recent decades have produced a flurry of new fossil cetaceans, extending their fossil history to over 50 million years ago. Along with new insights from genetics and developmental studies, these discoveries have helped to clarify the place of cetaceans among mammals, and enriched our understanding of their unique adaptations for feeding, locomotion and sensory systems. Their continuously improving fossil record and successive transformation into highly specialized marine mammals have made cetaceans a textbook case of evolution – as iconic in its own way as the origin of birds from dinosaurs. This book aims to summarize our current understanding of cetacean evolution for the serious student and interested amateur using photographs, drawings, charts and illustrations.

In the face of the destructive possibilities of resurgent nationalisms, unyielding ethnicities and fundamentalist religious affinities, there is hardly a more urgent task than understanding how humans can learn to live alongside one another. This fascinating book shows how people from various societies learn to live with social diversity and cultural difference, and considers how the concepts of identity formation, diaspora and creolization shed light on the processes and geographies of encounter. Robin Cohen and Olivia Sheringham reveal how early historical encounters created colonial hierarchies, but also how conflict has been creatively resisted through shared social practices in particular contact zones including islands, port cities and the ‘super-diverse’ cities formed by enhanced international migration and globalization. Drawing on research experience from across the world, including new fieldwork in Louisiana, Martinique, Mauritius and Cape Verde, their account provides a balance between rich description and insightful analysis showing, in particular, how identities emerge and merge ‘from below’. Moving seamlessly between social and political theory, history, cultural anthropology, sociology and human geography, the authors point to important new ways of understanding and living with difference, surely one of the key challenges of the twenty-first century.

Facilitates both the understanding and adoption of 802.1aq as a networking solution 802.1aq Shortest Path Bridging (SPB) is a technology that greatly simplifies the creation and configuration of carrier, enterprise, and cloud computing networks—by using modern computing power to deprecate signaling, and to integrate multicast, multipath routing, and large-scale virtualization. It is arguably one of the most significant enhancements in Ethernet's history. 802.1aq Shortest Path Bridging Design and Evolution explains both the «what» and the «why» of the technology standard being set today. It covers which decisions were elective and which were dictated by the design goals by using a multipart approach that first explains what SPB is, before transitioning into narrative form to describe the design processes and decisions behind it. To make SPB accessible to the data networking professional from multiple perspectives, the book: Provides a «Reader's Companion» to the standard Dissects the different elements of SPB Offers applications and potential futures for the technology 802.1aq Shortest Path Bridging Design and Evolution will appeal to system implementers, system and network architects, academics, IT professionals, and general networking professionals.

To practice effectively, midwives need to continually update their knowledge of pregnancy and birth. This fully revised and updated new edition of The Midwife's Labour and Birth Handbook is a practical and accessible guide to providing midwifery care while promoting 'women-centred' care and normality. It explores important questions such as: Why are women not encouraged to make a birth plan for elective CS? If a VBAC woman declines continuous CTG monitoring then why shouldn’t she use a waterbirth pool? If shoulder dystocia is anticipated, why not encourage all-fours birth in preference to a semi-recumbent position? Why are the needs of the delivering professional so often put before the advantages of upright postures for promoting descent of a second twin? This new edition incorporates the latest research and national guidelines, and includes new chapters on twins, caesarean section, bullying, risk management and IOL. By bringing together the latest midwifery information in a woman-centred way, The Midwife's Labour and Birth Handbook is an essential guide for both student midwives and experienced practising midwives.

Lecture Notes: Tropical Medicine is a comprehensive introduction to tropical medicine. The new edition is in full colour throughout with over 40 colour images integrated with the text. There is a new chapter on syndromes of undernutrition (in both children and adults), and the section on non-communicable diseases has been extended to include mental health problems in the tropics. The core information is presented in a clear and concise way, with extensive use of diagrams, algorithms, tables and boxes. All chapters have been updated to reflect current best practice and the annotated bibliographies and lists of web-based resources have been extended. The chapters on HIV, tuberculosis and malaria have undergone particularly extensive revision, reflecting rapid changes in these areas since the last edition. Lecture Notes: Tropical Medicine is particularly aimed at postgraduate doctors attending tropical medicine courses, as well as medical students taking a tropical medicine elective period. It will also be useful to a wide range of other health professionals involved with medicine in the tropics, or imported tropical disease.

Fully illustrated throughout with a wide range of scans, images and line drawings, ABC of Orthopaedics and Trauma provides practical guidance on the diagnosis, treatment and management of orthopaedic conditions, and assists with the initial assessment based on common presentations. Written by a team of renowned expert orthopaedic surgeons and rheumatologists, it includes coverage of the current national guidelines from NICE and professional bodies. Twenty-four chapters cover all the major areas of this vast speciality using a digestible and reader-friendly approach, including sections on fractures, joint replacements, rheumatological disorders, osteoarthritis, emergencies, and post-operative care. Introduction to specialist topics like metabolic bone disease, peripheral nerve injury, paediatric orthopaedics and tumours are also featured. Topics consist of history and examination, investigation and initial management of common orthopaedic trauma and elective presentations. In addition, this full-colour, user-friendly reference guide offers readers a look at the day-to-day clinical practice of a speciality that will affect at least half of the global population at some point, covering further chapters on epidemiology, biomechanics, common procedures, future developments and education. ABC of Orthopaedics and Trauma is an excellent resource for all healthcare professionals caring for patients with musculoskeletal and orthopaedic related disorders. This will be a valuable reference to orthopaedic trainees, sports physicians, physiotherapists, nurses, occupational therapists, clinical researchers and student doctors.

Anthony Barron explores the relationship between the philosophy of Schopenhauer and the forms and themes of Beckett’s critical and creative writings. He shows that Beckett’s aesthetic preoccupations are consonant with some of Schopenhauer’s seminal arguments regarding the arational basis of artistic composition and appreciation and the impotence of reason in human affairs. While Beckett’s critical writings are, in places, formidably opaque, this work examines the ways in which such texts can be elucidated when their intertextual affinities with Schopenhauer’s arguments are revealed. Using Schopenhauer’s thought as a presiding interpretative framework, Barron demonstrates how the widespread presence of philosophical and theological ideas in Beckett’s creative texts signifies less about his personal convictions than it does about his authorial aims. He thereby highlights the ways in which discursive ideas were appropriated and manipulated by Beckett for purely literary ends. A central contention of this book is that to judge the place of ideas within Beckett’s art, we should ignore questions of their theoretical persuasiveness and consider their role as purely aesthetic devices, the value of which is revealed in terms of the existential impact they have upon his characters. In each of the chapters that deal with Beckett’s fiction, Barron underscores the artistically energizing tensions that exist between the concepts that Beckett’s characters invoke in their attempts to comprehend the import of their experiences and their conative and affective tribulations which invariably prove resistant to such analysis. Here the means by which such conceptual aporias engender semantic potentialities underpin an exploration of Beckett’s creative assimilation of rational discourse. While the focus of this publication is upon Beckett’s early and middle fiction, which was composed at a time when the relationship between the chaos of quotidian ordeals and the value of rational thought became most acutely relevant for him, numerous cross-references to his dramatic and poetical works are provided in order to highlight the overall significance of these issues within his oeuvre.