The concepts of acute coronary care are changing so rapidly that it is appropriate that the volume ACUTE CORONARY CARE: PRINCIPLES AND PRACTICE, published early in 1985, would have yearly updates. The process of rapid production of camera-ready manuscripts has added new capability to the exchange of information. ACUTE CORONARY CARE 1986 is the first of a series of yearly updates in this important area of cardiology. Materials published during the fall of 1984, including abstracts for the November American Heart Association meetings were reviewed by the editors to identify the areas of new information and the authors making important contri butions. Manuscripts were completed and edited during the spring of 1985 and the final camera-ready versions were delivered to Martinus Nijhoff by mid-July. The broad area of coronary care is divided into its five time sectors: Pre-hospital, Post-admission, Coronary Care Unit, Pre-discharge, and Conva lescent. As patients are more frequently encountered in the pre-hospital phase, it has become evident that alterations in the autonomic nervous system have a great impact on the clinical situation. The chapter by Ron Victor emphasizes the important interactions between the nervous system and the cardiovascular system in this critical situation."

During the 25 years since acute coronary care was focused into Coronary Care Units there have been three major Phases: I. prevention of death caused by arrhythmias; II. prevention of death due to myocardial failure; and III. limitation of infarct size. In the latter two Phases, there has been infringement upon the time honored concept of a prolonged period of rest for the patient in general and the heart in particular to minimize myocardial metabolic demands. During the second Phase of coronary care, patients with myocardial failure received aggressive measures to increase cardiac work via increase in preload, decrease in afterload, and direct increase in inotropy. It was believed that true cardiogenic shock was so irreversible that it should be prevented by vigorous efforts to improve the cardiac output despite the risk of extending the area of ischemic myocardium. However, Phase II produced minimal overall reduction in mortality. In the initial part of Phase III, myocardial infarct (MI) size limitation was attempted by reducing myocardial metabolic demands via either beta adrenergic or calcium channel blocking agents. We are currently several years into the second part of Phase III of coronary care where the principle means of limiting MI size is restoration of coronary blood flow.

This is the first truly interdisciplinary collection devoted to the legacy of Richard Wagner to merge insights from Musicology and Music Theory with explorations of the composer's vast socio-cultural impact from such fields as History, German, and Disability Studies. The wide ranging topics include Glenn Gould's piano transcriptions, the value of naming musical themes in the music dramas, the status of Wagner in Israel, and the assignment of "Jewish" characteristics in both Wagner's music and polemics and, in recent years, to his descendant, musicologist Gottfried Wagner. Contributors include Robert Gauldin, Warren Darcy, Marc Weiner, and Paul Rose.

Medical Data Management is a systematic introduction to the basic methodology of professional clinical data management. It emphasizes generic methods of medical documentation applicable to such diverse tasks as the electronic patient record, maintaining a clinical trials database, and building a tumor registry. This book is for all students in medical informatics and health information management, and it is ideal for both the undergraduate and the graduate levels. The book also guides professionals in the design and use of clinical information systems in various health care settings. It is an invaluable resource for all health care professionals involved in designing, assessing, adapting, or using clinical data management systems in hospitals, outpatient clinics, study centers, health plans, etc. The book combines a consistent theoretical foundation of medical documentation methods outlining their practical applicability in real clinical data management systems. Two new chapters detail hospital information systems and clinical trials. There is a focus on the international classification of diseases (ICD-9 and -10) systems, as well as a discussion on the difference between the two codes. All chapters feature exercises, bullet points, and a summary to provide the reader with essential points to remember. New to the Third Edition is a comprehensive section comprised of a combined Thesaurus and Glossary which aims to clarify the unclear and sometimes inconsistent terminology surrounding the topic.

Major presentation of pharmacokinetics by a leading international expert. Methods for: estimating drug disposition parameters from data obtained after intravascular or extravascular drug administration, estimating rate and extent of drug bioavailability, and comparing rate and extent of drug availability following administration of several different dosage forms of a drug.

Combines the expertise of a registered commodity broker and a systems analyst to bring readers up to date on candlestick charting methods. Goes a step beyond existing literature to discuss practical applications of this technique and recommended strategies. Integrates candlestick charts with Western technical indicators and trading methods such as stochastics, Elliott Wave, moving averages and oscillators. Features significant treatment of computer analysis of candlesticks.

The Operator's Manual for the New Administration explains how government works and how to make it work to advance policy goals and objectives. Bringing decades of experience in government administration, the authors have identified eight key tools-leadership, performance, people, money, contracting, technology, innovation, and collaboration-that executives must utilize in order to be successful.

Getting It Done was written for those who have answered the call to public service. Now, in this revised edition, the editors of IBM's Center for The Business of Government series have assembled a comprehensive guide to navigating the current environment of government, and what government leaders ought to know to survive and thrive with respect to the ways it's evolved over the years. Concise analyses of the roles and responsibilities of those involved in any political decision accompany informative and instructional chapters, each highlighting a key step any public servant must take to ensure they do all they can for the people and causes they represent. From the patient and careful study of an issue, to the assembly of a trusted advisory team and the development and execution of a focused vision and agenda, leaders of all kinds will find some part of this book to incorporate into their own leadership strategies, for which this book's expert and pragmatic insights prove a refreshing boon.

The Operator's Manual for the New Administration explains how government works and how to make it work to advance policy goals and objectives. Bringing decades of experience in government administration, the authors have identified eight key tools-leadership, performance, people, money, contracting, technology, innovation, and collaboration-that executives must utilize in order to be successful.

Many of the brightest Chinese minds have used the form of the commentary to open the terse and poetic chapters of the Laozi to their readers and also to develop a philosophy of their own. None has been more sophisticated, philosophically probing, and influential in the endeavor than a young genius of the third century C.E., Wang Bi (126-249). In this book, Rudolf G. Wagner provides a full translation of the Laozi that extracts from Wang Bi's Commentary the manner in which he read the text, as well as a full translation of Wang Bi's Commentary and his essay on the "subtle pointers" of the Laozi. The result is a Chinese reading of the Laozi that will surprise and delight Western readers familiar with some of the many translations of the work.

Many of the brightest Chinese minds have used the form of the commentary to open the terse and poetic chapters of the Laozi to their readers and also to develop a philosophy of their own. None has been more sophisticated, philosophically probing, and influential in the endeavor than a young genius of the third century C.E., Wang Bi (126-249). In this book, Rudolf G. Wagner provides a full translation of the Laozi that extracts from Wang Bi's Commentary the manner in which he read the text, as well as a full translation of Wang Bi's Commentary and his essay on the "subtle pointers" of the Laozi. The result is a Chinese reading of the Laozi that will surprise and delight Western readers familiar with some of the many translations of the work.

Industrial Development and the Social Fabric

Major presentation of pharmacokinetics by a leading international expert. Methods for: estimating drug disposition parameters from data obtained after intravascular or extravascular drug administration, estimating rate and extent of drug bioavailability, and comparing rate and extent of drug availability following administration of several different dosage forms of a drug.

This is a set of pioneering studies on Chinese encyclopaedias of modern knowledge (1870-1930). At a transitional time when modern knowledge was sought after yet few modern schools were available, these works were crucial sources of information for an entire generation. This volume investigates many of these encyclopaedias, which were never reprinted and are hardly known even to specialists, for the first time. The contributors to this collection all specialize in the period in question and have worked together for a number of years. The resulting studies show that these encyclopaedias open a unique window onto the migration and ordering systems of knowledge across cultural and linguistic borders.

The concepts of acute coronary care are changing so rapidly that it is appropriate that the volume ACUTE CORONARY CARE: PRINCIPLES AND PRACTICE, published early in 1985, would have yearly updates. The process of rapid production of camera-ready manuscripts has added new capability to the exchange of information. ACUTE CORONARY CARE 1986 is the first of a series of yearly updates in this important area of cardiology. Materials published during the fall of 1984, including abstracts for the November American Heart Association meetings were reviewed by the editors to identify the areas of new information and the authors making important contri butions. Manuscripts were completed and edited during the spring of 1985 and the final camera-ready versions were delivered to Martinus Nijhoff by mid-July. The broad area of coronary care is divided into its five time sectors: Pre-hospital, Post-admission, Coronary Care Unit, Pre-discharge, and Conva lescent. As patients are more frequently encountered in the pre-hospital phase, it has become evident that alterations in the autonomic nervous system have a great impact on the clinical situation. The chapter by Ron Victor emphasizes the important interactions between the nervous system and the cardiovascular system in this critical situation."

This book presents critical studies of modern reconfigurations of conceptions of the past, of the 'classical', and of national heritage. Its scope is global (China, India, Egypt, Iran, Judaism, the Greco-Roman world) and inter-disciplinary (textual philology, history of art and architecture, philosophy, gardening). Its emphasis is on the complexity of the modernization process and of reactions to it: ideas and technologies travelled from India to Iran and from Japan to China, while reactions show tensions between museumization and the recreation of 'presence'. It challenges readers to rethink the assumptions of the disciplines in which they were trained

Fission track dating is based on the microscopic observation and counting of etchable tracks left by the spontaneous fission of uranium in minerals. Since its development in 1963 the method attracted a steadily growing interest from geologists and geochronologists throughout the world. Apart from its relative experimental ease the success must be mainly ascribed to the specific ability of the method of unravelling the thermal and tectonic history of rocks, a potential which only became fully exploited during the last decade with the systematic introduction of track size analysis. The present work is the first one to deal entirely with fission track dating covering all of its aspects from the origin of the fission tracks, the basis of track etching and fading, the various dating techniques as well as practical procedures and the geologic interpretation to the most recent applications in geology and archaeology.

During the 25 years since acute coronary care was focused into Coronary Care Units there have been three major Phases: I. prevention of death caused by arrhythmias; II. prevention of death due to myocardial failure; and III. limitation of infarct size. In the latter two Phases, there has been infringement upon the time honored concept of a prolonged period of rest for the patient in general and the heart in particular to minimize myocardial metabolic demands. During the second Phase of coronary care, patients with myocardial failure received aggressive measures to increase cardiac work via increase in preload, decrease in afterload, and direct increase in inotropy. It was believed that true cardiogenic shock was so irreversible that it should be prevented by vigorous efforts to improve the cardiac output despite the risk of extending the area of ischemic myocardium. However, Phase II produced minimal overall reduction in mortality. In the initial part of Phase III, myocardial infarct (MI) size limitation was attempted by reducing myocardial metabolic demands via either beta adrenergic or calcium channel blocking agents. We are currently several years into the second part of Phase III of coronary care where the principle means of limiting MI size is restoration of coronary blood flow.

Pain is unfortunately not an early symptom in neoplastic diseases. When it occurs, however, as it so often does in the advanced stages of the disease, then it can be particularly severe. Many physicians are not able to treat such pain efficiently with the standard methods familiar to them. Even in the oncological clinic, it is common for cancer patients not to receive adequate treatment of their pain; the therapeutic efforts are directed principally at the cancer, the pain often being neglected. This book fills a gap in the literature and should enhance the awareness of pain of all those who deal with cancer patients. For the patient, the symptoms of the disease are usually the direct cause of suffering, and pain is often the most severe symptom. The pain may be potentiated by knowledge of the threat posed by the cancer, or may itself considerably increase the patients existing anxiety. Thus there is a vicious circle of pain and psychological factors which will reduce the patient to a state of despair and distress. It is, therefore, obvious that efficient pain therapy is of utmost signi ficance to the patient, who will judge the doctor's ability to provide medical assistance according to the degree of pain relief achieved. The patient's quality of life will also depend critically on the relief obtained."

When a patient develops symptoms suggestive of and infarction, this section is emphasized. There acute coronary insufficiency, the health care sys- are brief sections on prediction and prevention of tem is presented with a challenging diagnostic ischemic events, methods of diagnosing and siz- and management problem. During the past 20 ing infarcts, and methods of monitoring the pa- years, hospitals have been developing coronary tient with myocardial ischemia. A major focus of care units as the specialized inhospital facilities for the text is on "coronary care. " As indicated above, such patients. For the past 15 years, many com- during the past 20 years five distinct phases of munities have employed paramedical personnel coronary care have evolved: (a) prehospital, (b) to extend the principles of "coronary care" to the postadmission, (c) coronary care unit, (d) predis- site of the patient who develops the problem. charge, and (e) convalescent. Cardiac rehabilitation programs have also been The section on pathophysiology begins with a established to facilitate the return to function of chapter by Greenfield and Rembert discussing patients who have had acute coronary insuffi- the factors that determine the transmural distri- ciency. More recently, aggressive medical and bution of blood flow. Reimer then shows the surgical techniques have been developed to either relationship between coronary blood flow and prevent or limit the extent of myocardial necrosis both reversible and irreversible damage to the that develops due to acute coronary insufficiency. myocardium.

The contributions of this collected volume are the result of a call for papers. The authors met and discussed their drafts at the workshop "Inequality in Europe," organized by the editors. The workshop was sponsored by the "Population Economics" section of the German Association for Demography ("Deutsche Gesellschaft fuer Bevoelkerungs wissenschafl" - DGBw) and by the "Josef-Popper-Naehrpflicht" Foundation. The aim of this foundation, located at the Johann-Wolfgang-Goethe-University of Frankfurt am Main, is to support research dealing with problems of achieving a "reasonable" standard of living. Originally the aim of the foundation was to further the notion of a guaranteed minimum income ("allgemeine Naehrpjlicht"). The publication of this book is also sponsored by this foundation. The workshop was held at the "Evangelische Akademie Arnoldshain," near Frankfurt am Main. The helpful discussions during the workshop benefitted greatly from the friendly atmosphere of the academy. Some of the articles were financially supported by the "Panel Comparability" Project (PACO), located at CEPS (Centre d'Etudes de Populations, de Pauvrete et de Politiques Socio-Economiques) in Luxembourg. PACO is a joint activity of the German Institute for Economic Research (DrW) in Berlin, CEPS and some other institutions in European countries. It is sponsored by grant No. ERBCHRX-CT92- 0037 ("European Network on Longitudinal Household Panel Studies Meeting Technology Requirement for Comparative Research") of the "Human Capital and Mobility" program of the Commission of the European Community."

This is the first systematic study of civil law in late Imperial Russia. It shows that efforts to adjust family, property, and inheritance law to changing social and economic conditions often became intertwined with attempts to shape society in accordance with competing ideological ideals. Through a restructuring of the family's legal basis, members of the growing educated and professional strata of society in particular endeavoured to promote conflicting conceptions of authority, individuality, gender, and law. Legal reform also served for members of the emerging legal and medical professions as a way to establish their authority, often at the expense of the state administration and the Orthodox Church. Civil law in late Imperial Russia therefore constituted both an important medium for ideological redefinition and a field of battle for those seeking to reform, to overthrow, or to defend the ancien regime. Because this battle extended into the state bureaucracy, legislative change proved extremely difficult. Newly empowered by the 1864 judicial reform, the judiciary responded to legislative inaction by not merely adapting the law, but also by promoting an ideal of the family whose values and principles challenged those underlying the autocracy. Professor Wagner's detailed and scholarly analysis of these issues offers many important insights into cultural attitudes, political structures, and the role of law in late Imperial Russia.

A longtime bestseller, "Politics and Change in the Middle East" employs a multidisciplinary approach to comprehensively and evenhandedly examining the region's past, present, and future. Through politics, economics, culture, and history, this book offers a rugged analytical framework that familiarizes readers with the Middle East and helps them to critically evaluate contemporary developments. Thematically organized, "Politics and Change in the Middle East" introduces students to the primary actors and issues that define the region and its role in world politics.