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Patients with mental and substance use disorders have shown
higher rates of morbidity and mortality from medical illnesses than
the general population, and physicians are also increasingly aware
of adverse effects of psychiatric medications on metabolic and
cardiovascular health. In light of these problems, this book
addresses an important unmet need of patients with mental disorders
-- namely, the lack of integration of general medical care with
psychiatric care and the related problem of barriers to
collaboration and communication among health care providers.
Managing Metabolic Abnormalities in the Psychiatrically Ill is the
first book to provide a current review of the relationships among
psychiatric illnesses, metabolic abnormalities, and treatment,
focusing on how clinicians can tailor care to those
doubly-afflicted patients.
The book integrates research findings into practical clinical
guidelines that spell out what psychiatrists need to know when
their patients with mental illness suffer from -- or are at risk of
developing -- obesity, diabetes, cardiovascular disease, or the
metabolic syndrome. The contributors address those risks that need
to be considered in the overall context of treatment, background
risks of medical illnesses associated with specific psychiatric
disorders themselves, and the means of applying these data to
treatment recommendations, monitoring, and clinical practice. Among
the specific topics addressed are: - Potential effects of
psychotropics on appetite, body weight, and metabolic parameters in
obese patients, and the potential effects of anti-obesity agents on
psychotic, manic, and depressive syndromes- Increased risk of type
2 diabetes among individuals with psychotic and mood disorders due
to neurobiological changes and behavioral effects associated with
these disorders- Greater risk for cardiovascular disease among the
mentally ill, stressing the importance of mental health providers
understanding cardiovascular risk classification and modification
strategies- An association between dysregulation of glucose and
lipid metabolism and the related risk of type 2 diabetes during
treatment with any of the eight second-generation antipsychotics
currently available in the United States- Guidance in choice of
medications and appropriate monitoring strategies for
hyperlipidemia, along with recognition of which antipsychotics pose
the greatest risk and an understanding of the common dyslipidemia
patterns seen with their use
Chapters include key clinical concepts, quick-reference tables,
and extensive references, and a final chapter provides an
assessment tool for evaluating patients' metabolic risk. Together,
the chapters in this book constitute an authoritative clinical
guide that enables psychiatrists to better integrate the treatment
of patients' mental disorders with their metabolic conditions.
Societies around the world face an increasingly uncertain future as
social and ecological changes create pressure on resource
governance, and this uncertainty calls for new models that
illuminate the intersections of civil society, public sector, and
private sector resource management. This volume presents a
diversity of collaborations between various governance actors in
the management of the Food-Energy-Water (FEW) nexus. It analyses
the ability of emergent governance structures to cope with the
complexity of future challenges across FEW systems. Divided into
two sections, chapters in the first half of the book present a
collection of case studies from around the world exemplifying how
FEW nexus challenges are addressed in a multitude of ways and by a
variety of actors. Chapters in the second half offer broader
perspectives on the management of FEW and underline the lessons
that emerge from applying a FEW lens to the question of natural
resource governance. The varied examples in this book highlight
that the management of FEW is often a question of reinventing,
adapting, and building upon existing practices. Such practices are
deeply embedded in unique socio-cultural, environmental, and
political contexts as well as 'hard' infrastructures. Most of all,
this edited volume seeks to communicate the wealth of ideas from
committed individuals who continue to work to improve natural
resource governance and our sustainable futures.
Societies around the world face an increasingly uncertain future as
social and ecological changes create pressure on resource
governance, and this uncertainty calls for new models that
illuminate the intersections of civil society, public sector, and
private sector resource management. This volume presents a
diversity of collaborations between various governance actors in
the management of the Food-Energy-Water (FEW) nexus. It analyses
the ability of emergent governance structures to cope with the
complexity of future challenges across FEW systems. Divided into
two sections, chapters in the first half of the book present a
collection of case studies from around the world exemplifying how
FEW nexus challenges are addressed in a multitude of ways and by a
variety of actors. Chapters in the second half offer broader
perspectives on the management of FEW and underline the lessons
that emerge from applying a FEW lens to the question of natural
resource governance. The varied examples in this book highlight
that the management of FEW is often a question of reinventing,
adapting, and building upon existing practices. Such practices are
deeply embedded in unique socio-cultural, environmental, and
political contexts as well as 'hard' infrastructures. Most of all,
this edited volume seeks to communicate the wealth of ideas from
committed individuals who continue to work to improve natural
resource governance and our sustainable futures.
This is a reproduction of a book published before 1923. This book
may have occasional imperfections such as missing or blurred pages,
poor pictures, errant marks, etc. that were either part of the
original artifact, or were introduced by the scanning process. We
believe this work is culturally important, and despite the
imperfections, have elected to bring it back into print as part of
our continuing commitment to the preservation of printed works
worldwide. We appreciate your understanding of the imperfections in
the preservation process, and hope you enjoy this valuable book.
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