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Macleod's Clinical Diagnosis demonstrates how to apply the core clinical skills learned from the companion textbook Macleod's Clinical Examination to maximum advantage. Charting the course from routine work-up to diagnosis, this book presents a modern and realistic approach to clinical assessment and explains how to integrate information obtained from the history, examination, bedside tests and specialised investigations. The first section Principles of clinical assessment examines different approaches to diagnosis, reviews the fundamental elements necessary for accurate patient assessment, provides a helpful template for a 'routine workup' and describes how to adapt the assessment to fit the clinical context. The second core section of the book Assessment of common presenting problems contains a series of 'diagnostic guides' that lead the reader, step-by-step through the major presenting problems in medicine and surgery, explaining how to recognise red flag features, eliminate life-threatening conditons and generate a logical differential diagnosis. This book has been praised as an invaluable resource for senior medical students and junior doctors as they attempt to make the difficult transition from mastering basic clinical skills to assessing patients in the real world of clinical medicine. A unique book allowing a reader to apply the skills of clinical examination in the formulation of a differential diagnosis and placing a patient's symptoms in context. Takes a problem-based approach to diagnostic reasoning, reflecting both modern medical and current educational practices. Builds on the clinical skills outlined in the companion Macleod's Clinical Examination textbook. For this Second Edition the text has been expanded with five new topics covering nausea and vomiting; vaginal bleeding; red eye; urinary incontinence; and weight loss.

Innovations in technology have hugely enhanced the diagnostic capabilities of today's practising clinicians. Yet the traditional art of detecting clinical signs through expert examination techniques remains a fundamental competence for training and practising clinicians, central to the delivery of safe and effective patient care. This first edition of Macleod's Essential Examination provides an innovative, concise account of each body system examination, delivering the information in a compact, portable format for use at home and in the clinical environment. It can be used in conjunction with the more extensive and hugely successful 'parent' textbook Macleod's Clinical Examination, with which it is closely integrated, or as a stand-alone aide-memoire. This quick-reference, highly practical guide will assist in preparation for OSCEs and in clinical practice. Each chapter follows a consistent format, opening with typical OSCE scenarios followed by a concise 'point by point' examination template. This is then expanded with a detailed description of each aspect of the examination process, including specific instructions around technique and information about key clinical signs to consider. Exam tips are also provided, along with typical questions likely to be asked during an OSCE. Answers are given are at the end of each chapter, making it an invaluable resource for both self-assessment and in peer-to-peer learning. The book provides a standardised framework for examination of all the major body systems. Using a novel tabular approach the book provides a clear set of guidelines on what to do at each stage of the clinical examination. It also reminds the reader what are the corresponding key points to think about and sets out associated exam tips. The exam tips are subsequently linked to potential examiner's questions. Each system ends with a reminder of how to present the findings and relevant tips to maximise your success.

Have you ever sensed that your life has a deeper, more meaningful purpose, but you don't know what it is? If so, you're not alone. To help you and the millions like you, psychic Ainslie MacLeod's spirit guides have given him a systematic approach to uncovering who you really are--and the life your soul has planned for. They call it The Instruction. Now, for the first time, this unique teaching is offered as a step-by-step program for realizing personal fulfillment. The Instruction will take you through 10 doorways to unveil the life plan your soul created before you were even born, including: Your Soul Age--Determining how it shapes your beliefs and behaviors - Your Soul Type--Are you a Hunter? Thinker? Creator? What your Soul Type reveals about your true self - Your Powers--Connecting fully and permanently with your spirit guides to create your destiny - Your Talents--Using your past lives to enhance the present By taking you on a journey beyond this plane, Ainslie MacLeod uses a groundbreaking system to help you unlock the secrets of your soul's purpose, and illuminate the path of your life with The Instruction.

Fifty years since it was first published and now fully revised, Macleod's remains the textbook of choice for medical students, junior doctors, nurses and allied health practitioners who understand that excellence in clinical examination is integral to good practice. The fifteenth edition will teach you how to take a history and carry out proficient clinical examination, in order to elicit the key clinical symptoms and signs of disease. It covers general principles, relevant history, examination and investigations for all the major body systems - and how to effectively apply these skills to specific clinical situations and prepare for assessment. Macleod's Clinical Examination is enhanced with 32 supplementary videos demonstrating key clinical examination routines described in the book, many new and revised for this edition in line with latest guidance and best practice. Primarily focused on the practical skills required by medical students and early career stage clinicians Explains the physical basis of clinical signs to aid understanding Introduces the formulation of a differential diagnosis Provides logical initial investigations for each body system Comes with access to the complete, fully searchable and downloadable eBook Enhanced sections on adapting skills to particular situations, including the challenges of remote consultation and infection control Updated text and images, to ensure the content is relevant to a diverse readership and patient population Latest clinical decision-making models to aid the learner's diagnostic reasoning 8 brand new videos produced especially for this edition covering: Obstetric examination Gynaecological examination Assessment of fluid balance Examination of the hand and wrist Examination of the foot and ankle Examination of the neck Examination of the foot in diabetes and peripheral vascular disease The timed up and go test

A professor ponders the possibility of an ancient Viking curse while investigating a death by quicklime, in a novel by the Edgar Award–nominated author.When 105-year-old Hilda Horsefall tells young reporter Cronkite Swope of a stone carved with Norse runes that once sat in the nearby woods, the writer starts salivating at the thought of breaking the news that Vikings once marauded through their sleepy Massachusetts countryside. But while he’s jotting down notes, a scream rings out, and Cronkite finds an even bigger story. A farmhand has been burned to death by quicklime, and Cronkite gets an exclusive scoop.In this neck of New England, strange deaths are invariably referred to Prof.Peter Shandy, the only local with the know-how to connect fearsome quicklime to the Vikings of old. But as he digs into the ancient mystery, the professor finds the forgotten Norse gods aren'tabove demanding a modern sacrifice.

Alistair MacLeod musters all of the skill and grace that have won him an international following to give us No Great Mischief, the story of a fiercely loyal family and the tradition that drives it. Generations after their forebears went into exile, the MacDonalds still face seemingly unmitigated hardships and cruelties of life. Alexander, orphaned as a child by a horrific tragedy, has nevertheless gained some success in the world. Even his older brother, Calum, a nearly destitute alcoholic living on Toronto's skid row, has been scarred by another tragedy. But, like all his clansman, Alexander is sustained by a family history that seems to run through his veins. And through these lovingly recounted stories-wildly comic or heartbreakingly tragic-we discover the hope against hope upon which every family must sometimes rely.

With a new Skane County Police commissioner wanting to make his mark in Malmo, the Criminal Investigation Squad is under pressure when they are called in to solve the killing of a private investigator. The nature of the victim's work throws up some obvious suspects, yet not all is what it seems. When another murder takes place, there seems to be a politically sensitive connection. Anita Sundstrom, out of the force for a year after her resignation, is approached by a dying woman to track down a collection of paintings stolen from her family. The paintings were looted by the Nazis in Budapest in 1944. But needing the money, Anita takes on this seemingly impossible task. As she heads off to Hungary, she has no idea of the dangers ahead. This is the eighth mystery in the best-selling Anita Sundstrom crime series.

Deres verden var en verden af magt og privilegier - Det var en verden af krig, hemmeligheder og hellig pligt. Det var det antikke Roms verden – og hvis man ikke kender historien om vestalinderne, kender man ikke historien om Rom. År 21 f.v.t. I den klasseopdelte verden i det gamle Rom er der borgere og slaver, senatorer og soldater, præster og præstinder – og kejser Augustus, der regerer dem alle. Alligevel varer hans autoritet kun, så længe folket tror, at Roms guder støtter ham, især den elskede gudinde for hjemmet og arnen, Vesta. Som øverste Vesta-præstinde fortsætter Pomponia med at vie sit liv til at beskytte sin orden og Vestas evige flamme. Pomponia har opnået høj anseelse i Rom og er et værdsat medlem af Augustus’ inderkreds. Men nu hærger en epidemi byen, og spændingen stiger blandt Roms indbyggere. Mens hun kæmper for at styre den vestalske orden og bevare gudindens gunst, må Pomponia nu stå over for en ondsindet adelsmand, hvis intriger mod hende ikke bare truer hendes venskab med kejseren, men også alt, hvad hun elsker Fil størrelse: 1350 KB

SEXISME PÅ ARBEJDE er skrevet til ansatte og ledere på danske arbejdspladser, der ønsker at være en del af løsningen, men som samtidig er i tvivl om, hvordan vi kommer sexisme til livs. Bogen introducerer, definerer og demonstrerer, hvordan sexisme fungerer og kommer til udtryk. Hvad enten du er leder, HR-medarbejder eller ansat, får du redskaber og metoder til at forebygge og håndtere sexisme på arbejdspladsen. Bogen tager afsæt i over 800 vidnesbyrd, som er indsamlet, da #metoo-bølgen skyllede ind over det danske arbejdsmarked i 2020. Her dokumenterer hundredvis af akademikere på alle niveauer og fra samtlige danske universiteter, at sexismen trives i bedste velgående i akademia. Med dette stærke blik for sexisme, som den kan komme til udtryk og virke og opleves i alle mulige arbejdssituationer, præsenterer bogen ny viden om årsager til, effekter af og løsninger på sexisme. Både for den enkelte og for arbejdspladsensom helhed. SEXISME PÅ ARBEJDE viser, hvordan vi alle er involveret, også uden at tænke over det – og samtidig giver den redskaber til at skabe et arbejdsklima med trygge, respektfulde rammer, der sikrer alle ansatte, uanset køn, alder, ansættelse og position.

Inspire people to perform at their best in any workplace environment Coaching & Mentoring For Dummies is the playbook to help supervisors change their role from doer/manager to coach/mentor. Leadership and coaching expert Leo MacLeod, shares the secrets of motivating employees to find purpose in their work and grow as independent problem solvers—without micromanaging them. Written for today’s changing workplace, the book provides guidance on leading diverse teams, working with younger generations and working remotely. Business is built on relationships, especially in today’s global economy. Coaching and mentoring are more important than ever. This readable guide provides you with the skills to strengthen connections and pass on useful knowledge that will help teams elevate their productivity and quality of work. Gain or improve the coaching skills that drive employee performance and commitment in diverse workforces Encourage colleagues to deliver results and guide employees to think for themselves Motivate teams both in person and virtually, and navigate intergenerational issues Be a sounding board for others and get the best out of your teams Foster mentoring relationships that help employees grow and stay engaged in their careers. This is the perfect Dummies guide for anyone who wants to learn the best practices of coaching and mentorship in today’s diverse, digital world.

Deres verden var en verden af magt og privilegier. Det var en verden af krig, hemmeligheder og hellig pligt. Det var det antikke Roms verden – og hvis du ikke kender historien om vestalinderne, kender du ikke historien om Rom. De var Vestas præstinder, vogtere af den evige flamme, der beskyttede Den evige Stad. Dedikeret til et 30-årigt løfte om kysk tjeneste bliver præstinde Pomponia revet med i intriger og vold hos Roms magtfulde elite: Julius Cæsar, Antonius og Cleopatra, Octavian og hans manipulerende hustru Livia, alt imens hun omhyggeligt værner om den hemmelige kærlighed, hun bærer i sit hjerte. Men da en anklage om incestum – et brudt kyskhedsløfte – bliver rejst mod vestalinde-ordenen, truer den ultimative straf: at blive levende begravet på Ondskabens Mark. Fil størrelse: 1334 KB

A Christmas scrooge discovers a murdered librarian in this holiday novel from an Edgar Award finalist known for her "witty, literate, and charming" mysteries (Publishers Weekly). Each December, the faculty of Balaclava Agricultural College goes wild with holiday decorations. The entire campus glitters with Christmas lights, save for one dark spot: the home of professor Peter Shandy. But after years of resisting the school's Illumination festival, Shandy suddenly snaps, installing a million-watt display of flashing lights and blaring music perfectly calculated to drive his neighbors mad. Then the horticulturalist flees town, planning to spend Christmas on a tramp steamer. It's not long before he feels guilty about his prank and returns home to find his lights extinguished-and a dead librarian in his living room. Hoping to avoid a scandal, the school's head asks Shandy, sometimes detective, to investigate the matter quietly. After all, Christmas is big business, and the town needs the cash infusion that typically comes with the Illumination. But as Shandy will soon find out, there's a dark side to even the whitest of white Christmases.

As Wolfgang Gullich said, "getting strong is easy, getting strong without getting injured is hard". Sooner or later, nearly all climbers get injured and it will be injuries that ultimately dictate how far you get in climbing, if you let them. Unfortunately, the data shows it takes over a decade just to get small proportions of medical research adopted in regular practice. Sourcing reliable and up to date advice on preventing and treating finger, elbow, shoulder and other climbing injuries is challenging to say the least. You need to be the expert, because there are so many strands of knowledge and practice to pull together to stay healthy as a climber, and no single source of advice to cover all of these. The book draws together both the cutting edge of peer reviewed sports medicine research, and the subtle concepts of changing your climbing habits and routine to prevent and successfully recover from injuries. It is a handbook on how to take care of yourself as a lifelong climbing athlete. By spanning the fields of climbing coaching, physiotherapy, sports medicine and behavioural science, it goes beyond the general advice on treating symptoms offered by sports medicine textbooks and into much more detail on technique and habits specific to climbing than the existing climbing literature base. You will learn how your current climbing habits are already causing your future injuries and what you can do to change that. If you are already injured, it will prevent you from prolonging your injury with the wrong climbing habits and rehabilitation choices. You will learn how the ingredients of prevention and good recovery come from wildly different sources and how you have been using only a fraction of them. Fully referenced throughout, the practical advice for diagnosis, rehabilitation and prevention of climbing injuries is drawn from up to date peer reviewed sports medicine research.

This book provides a user-friendly and practical introduction for undergraduates to the use of Geographic Information Systems (GIS) in biological research. Unlike most other books about using GIS, this information is specifically presented in a biological context and it is divided into two sections. The first section provides just enough background information to allow the novice biological GIS user to get started with GIS without getting too bogged down in the theory behind it or making some of the most common mistakes made by beginners. It covers areas such as what GIS is, why GIS is useful in biology, the basics of GIS, common concepts and terms in GIS, how data are contained in a GIS, useful information about what to think about before starting a GIS project and how to break down and translate ecological tasks into the language of GIS. This information is all provided in easy-to-read and non-technical language, with specific reference to its application in biological research. The second section, which constitutes the main body of the book, consists of six practical exercises accompanied by detailed instruction sets. The first four exercises introduce the novice biological GIS user to basic, but important, GIS skills, such as making a map, creating new feature data layers, creating raster data layers and joining together data from different data layers. The final two consist of case studies of how GIS can be used to answer real biological research questions. Each of these exercises represents a stand-alone GIS lesson which can be completed either on its own or as part of a practical session for an undergraduate class. In addition, each exercise focuses on a different area of biology, such as tropical ornithology, epidemiology, marine biology and rainforest ecology, and on a different part of the world, including the Amazon rainforest, a Scottish field station, Mount Mabu in northern Mozambique, the North Atlantic Ocean and the USA. Instructions for each exercise are provided for both the leading commercial GIS package (ESRI's ArcGIS(R) 10.3 software) and the leading freely available open-source GIS software (QGIS 2.8.3, also known as Quantum GIS), meaning that this book can be used to learn, or teach, how to use of GIS in biological research, regardless of the availability of commercial software licences. Taken together, the two sections of this book provide the perfect primer to show undergraduates, and other novice GIS users, how useful GIS can be in biological research, why it is rapidly becoming a key skill in many areas of biology, and how start in using it. The PSLS series of books uses Task-Oriented Learning (TOL) to teach the practical application of research skills to the life sciences. This involves demonstrating how these skills can be used in the specific circumstances in which they are likely to be required, rather than concentrating on teaching theoretical frameworks or on teaching skills in a generic or abstract manner. By...

As a life-giving but also potentially destructive substance, water occupies a prominent place in the imagination. At the same time, water issues are among the most troubling ecological and social concerns of our time. Water is often studied only as a "resource," a quantifiable and instrumentalized substance. Thinking with Water instead invites readers to consider how water - with its potent symbolic power, its familiarity, and its unique physical and chemical properties - is a lively collaborator in our ways of knowing and acting. What emerges is both a rich opportunity to encourage more thoughtful environmental engagement and a challenge to common oppositions between nature and culture. Drawing from a pool of contributors with diverse backgrounds, Thinking with Water presents the work of critics, scholars, artists, and poets in an invitation to pay more attention to the aqueous aspects of our lives. Contributors include: Aelab (Gisele Trudel, UQAM and Stephane Claude, Oboro), Stacy Alaimo (University of Texas at Arlington), Andrew Biro (Acadia University), Mielle Chandler (York University), Cecilia Chen (Concordia University), Dorothy Christian (University of British Columbia), Adam Dickinson (poet, Brock University), Max Haiven (Nova Scotia College of Art and Design), Janine MacLeod (York University), Daphne Marlatt (poet, British Columbia), Don McKay (poet, Newfoundland), Emily Rose Michaud (Artist, Wakefield, Qc.), Astrida Neimanis (Linkoping University), Sarah Renshaw (artist, Rhode Island), Shirley Roburn (Concordia University), Melanie Siebert (poet, University of Victoria), Jennifer B. Spiegel (Concordia University), Veronica Strang (Durham, UK), Rae Staseson (Concordia University), Rita Wong (Emily Carr University of Art and Design), and Peter C. van Wyck (Concordia University).

Mavis Hart is a famous rocker and half of the band Maverick Heart. She is the typical rock star. The only problem is Mavis has gone missing...Everyone is looking for her. But for once, Mavis has found the perfect place to hide, where no one would dare to look for her. Brooklyn Parker awakes to find everything that she had worked so long for, going up in smoke. She was broken, battered and defeated. No matter what she seems to do she can't clear the past from her mind. That is until her Aunt Becca forces her to go live on a ranch for six months. Brooklyn is given an ultimatum. Stop feelings sorry for yourself and get better. She wonders if she can really find life out there after everything that she has been through. She has to find a reason...to live, again. Jessie MacAndrews is the farmer's daughter and good friend of Becca. She isn't too sure what to make of Brooklyn at first as their tempers and mindsets clash. They have no choice but to work together to help Brooklyn find herself again. She agrees to help Brooklyn because Becca asked her. After a few days, Jessie begins to think that nothing and no one can help the unwanting Brooklyn. But, when Mavis is forced back into the spot light, can Jessie and Brooklyn survive the lies, the truth and the love that makes Jessie remember why Cowgirls Don't Cry?

'AN EXCEPTIONAL BLEND OF INTERNATIONAL POLITICS, HARD SCIENCE, AND FIRST CONTACT' Michael Mammay, author of the Planetside series 'MACLEOD'S BEST BOOK TO DATE' SFX Science fiction legend Ken MacLeod begins a new space opera trilogy by imagining humankind on the precipice of discovery - the invention of faster-than-light travel unlocks a universe of new possibilities, and new dangers. When a brilliant scientist gets a letter from herself about faster-than-light travel, she doesn't know what to believe. The equations work, but her paper is discredited - and soon the criticism is more than scientific. Exiled by the establishment, she gets an offer to build her starship from an unlikely source. But in the heights of Venus and on a planet of another star, a secret is already being uncovered that will shake humanity to its foundations. Discover this ground-breaking new space opera from multi-award winning author Ken MacLeod Praise for Ken MacLeod: 'If you like science fiction, you will love this. . . a rollicking good read' Scotsman 'MacLeod is up there with Banks and Hamilton as one of the British sci-fi authors you absolutely have to read' SFX 'Prose as sleek and fast as the technology it describes. . . watch this man go global' Peter F. Hamilton on Star Fraction 'Ken MacLeod has an enviable track record of extrapolating from current trends to produce mind-bending novels of ideas' Guardian Also by Ken MacLeod: Lightspeed Beyond the Hallowed Sky Fall Revolution The Star Fraction The Stone Canal The Cassini Division The Sky Road Engines of Light Cosmonaut Keep Dark Light Engine City Corporation Wars Trilogy Dissidence Insurgence Emergence Novels The Human Front Newton's Wake Learning the World The Execution Channel The Restoration Game Intrusion Descent