The fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities reveals common ground between medical and exercise professionals, creating a more collaborative approach to patient care. Developed by the American College of Sports Medicine (ACSM) with contributions from a specialized team of experts, this text presents a framework for optimizing patients' and clients' functionality by keeping them physically active. Featuring new content on common comorbid conditions, this edition is streamlined and updated to better suit chronic populations. This fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities outlines why exercise is significant in the treatment and prevention of disease, advises medical and exercise professionals in considering proper exercise prescription protocols, and provides evidence-informed guidance on devising individualized exercise programs. Major advancements and features of the fourth edition include the following: * Current evidence on exercise management for persons with multiple conditions, providing guidance on working with these common yet complex populations * A refocused goal of using physical activity to optimize patients' and clients' functionality and participation in life activities rather than only to treat and prevent disease * Specific content to help physicians prescribe physical activity and exercise to patients for promotion of health, well-being, and longevity * Reorganization of case studies into one streamlined chapter along with commentary from the senior editor to encourage critical thinking and recognize the unique needs of each patient The case studies in the text are real-life scenarios that help professionals and clinicians combine scientific knowledge with experience to find appropriate solutions for each individual. Commentary on the case studies from the senior editor illustrates when improvisation may be appropriate and where further research is needed. Tables are highlighted throughout the text to help readers quickly reference important clinical information. Evidence-informed guidelines, suggested websites, and additional readings further encourage practical use of information and identify further learning opportunities. For instructors, an ancillary PowerPoint presentation package aids in classroom discussion. The critical element that distinguishes the fourth edition of ACSM's Exercise Management for Persons With Chronic Diseases and Disabilities is its unifying mission to incorporate physical activity and exercise in both disease treatment and prevention. Its emphasis on assisting people with multiple conditions, which is ever present in health care today, moves beyond primary and secondary prevention to focus on how patients and clients can be kept physically active and functionally fit.

"A wickedly funny send-up of the sexual revolution and its discontents." Kirkus Reviews In yet another attempt to piece together the puzzle of his tortured romantic life, Ray Powell joins a men's group designed for each member to tell his "primal story" - the single great mythic journey of his life where all truths are revealed. Upon hearing of the suicide of an old friend, Ray realizes that one very strange pocket of time - during the post-free love/pre-AIDs early 1980s, when the battling in the sexual revolution was perhaps at its fiercest - may hold the key to his understanding of himself as a man Ronald Reagan has just been elected and John Lennon has just been shot in what many are calling the "unofficial" end of the revolutionary 1960s. And when Ray, a 30-year-old high school teacher, is dumped by fickle hippie goddess Lana, he seeks a fresh start, moving from the college-town Shangri-La of Crystal City to nearby Toledo, Ohio, where he is determined to continue the countercultural sensibilities of his hero, the martyred Lennon. To his chagrin, however, Ray finds himself at sea in a new ethos of emerging conservative values and rampant romantic cynicism. As he becomes tentatively involved with Judy, a 17-year-old student, Ray seeks advice from his three bachelor buddies: Scott, a Maharishi disciple and eternal student with a yen for tall, domineering women; Frank, a newly celibate ladies' man who now considers sex a "holocaust"; and the permanently lovelorn Bert, whose idea of a smooth come-on is to surprise his date by removing his clothes and draping a towel over his face. When all else fails, the Zen bromides he gleans from watching "Kung Fu" reruns guide his steps through the chaos of this profoundly confused time. While telling his primal story, Ray is forced to face the disturbing patterns of his love life and discovers a frightening truth about himself. But with knowledge, does salvation follow? You'd be surprised. "Durstin writes in a wonderfully observant prose that's sardonic and sympathetic, with a perfect ear for the cultural obsessions of the early Reagan era." Kirkus Reviews