The field of human artificial reproductive technology (ART) is continually advancing and has witnessed significant changes since the inception of Louise Brown in 1978. Though Louise Brown herself was conceived after the trans fer of a blastocyst, there remain significant confusion and debate regarding the stage at which the human embryo conceived in the laboratory should be replaced in the mother. Developments in culture media formulations, leading to the introduction of sequential media, have brought the role of the blasto cyst in human ART back into the spotlight. It was due to this resurgence of interest in the niche of extended culture in human infertility treatment that the symposium on "ART and the Human Blastocyst" was held. of this meeting within this volume bring to the forefront The proceedings the main issues raised with the transfer of embryos at the blastocyst stage. It is evident from the chapters that follow that ART needs to be perceived as a continuum of procedures, each one dependent on the preceding one, and all equally as important as each other. That is to say, the development of a com petent embryo is ultimately dependent on the quality of the gametes from which it was derived. With regard to the oocyte, this then places the emphasis on the physician to use a stimulation protocol that both produces quality oocytes and does not impair endometrial function. Maintenance of gamete and embryo quality is the laboratory's role.

The Smithwick's introduce parents of novice/ beginner riders to the sequence of how to successfully get their child into the equestrian world. Parents of advanced riders are given critical, inside information on how to advance their child through the highest riding levels. Also, children with disabilities have a chapter dedicated just to them, where parents or guardians learn how beneficial horses are to kids with any disability, explaining the latest medical research. The little known knowledge of exactly when a child equestrian is most at risk to sustain a head injury and how one can prevent concussions is also highlighted for parents. This book is a must read for any parent who wants to advance their child in the equestrian community - at any level

Lili Carracino's curves get her in trouble. Boys bully her. Girls insult her. Cyber strangers stalk her with rumors and lies. Even with the help of her best friend, Sophie, they can't seem to stop the harassment at school. And with absentee parents, a pesky little brother, and a fashionable grandmother she barely knows stepping in to take over her life, fourteen-year old Lili feels lost and alone. The harassment escalates along with her doubts, and Lili is forced to take a hard look at herself -and make the toughest choice of all.

Concise, portable, and user-friendly, The Washington Manual (R) of Patient Safety and Quality Improvement covers essential information in every area of this complex field. With a focus on improving systems and processes, preventing errors, and promoting transparency, this practical reference provides an overview of PS/QI fundamentals, as well as insight into how these principles apply to a variety of clinical settings. Part of the popular Washington Manual (R) series, this unique volume provides the knowledge and skills necessary for an effective, proactive approach to patient safety and quality improvement. * Addresses PS/QI in various clinical settings and with specific populations , including radiology, emergency room, surgery, ambulatory, pediatrics, and psychiatry. * Introduces models, measurements, and tools to assess patient safety and quality improvement * Discusses medical errors, how to respond to adverse events, and potential solutions. * Begins each chapter with a clinical vignette and discussion questions , and offers additional resources for further reading. * Shares the expertise of faculty members from multiple departments at Washington University in St. Louis, ideal for health care providers at all levels of experience. Now with the print edition, enjoy the bundled interactive eBook edition, which can be downloaded to your tablet and smartphone or accessed online and includes features like: * Complete content with enhanced navigation * Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web * Cross-linked pages, references, and more for easy navigation * Highlighting tool for easier reference of key content throughout the text * Ability to take and share notes with friends and colleagues * Quick reference tabbing to save your favorite content for future use The Washington Manual (R) is a registered mark belonging to Washington University in St. Louis to which international legal protection applies. The mark is used in this publication by LWW under license from Washington University.

The continued debate regarding the stage at which the human embryo conceived in the laboratory should be placed in the mother, combined with recent developments in culture media formulations, have brought the role of the human blastocyst in ART back into the spotlight. ART and the Human Blastocyst presents the proceedings of the International Symposium on ART and the Human Blastocyst held from March 30- April 2, 2000 in Dana Point, California. This book brings to the forefront the main issues raised with the transfer of embryos at the blastocyst stage, including the reduction of high order multiple gestations and the role of the blastocyst culture and transfer in facilitating successful single embryo transfer. Sections include gamete quality and pregnancy outcome, physiology of the embryo, blastocyst development in culture, blastocyst transfer and fate, and implantation. More than 40 illustrations and 25 tables complement the text.

El Manual Washington de calidad en la atencion y seguridad del paciente incluye la informacion basica necesaria para desarrollar y gestionar sistemas de calidad en la atencion incluyendo la descripcion de diferentes sistemas, los elementos que los constituyen, herramientas de control y gestion de la calidad, y variantes de los sistemas de gestion de calidad aplicada a la salud. Con un enfoque en la mejora de los sistemas y procesos, la prevencion de errores y la promocion de la transparencia, esta referencia practica proporciona una vision general de los fundamentos de la seguridad del paciente y la mejora de la calidad (SP/MC), asi como su aplicacion en una amplia variedad de entornos clinicos. Este nuevo titulo, que se suma a la ya basta coleccion de Manuales Washington, proporciona los conocimientos y habilidades necesarias para un enfoque eficaz y proactivo de la seguridad del paciente y la mejora de la calidad. Caracteristicas principales: Directrices en SP/MC en diversos entornos clinicos y con poblaciones especificas, incluyendo radiologia, sala de emergencias, intervenciones ambulatorias, pediatria y psiquiatria. Modelos, medidas y herramientas para evaluar la seguridad del paciente y la mejora de la calidad. Aborda todas las cuestiones relacionadas con los errores medicos, como responder a eventos adversos y las posibles soluciones. Cada capitulo se inicia con un caso clinico con preguntas y discusion para facilitar la puesta en practica de los fundamentos sobre SP/MC. Ofrece recursos adicionales para la lectura adicional. Muestra la experiencia real de los miembros de la facultad de varios departamentos de la Universidad de Washington, algo ideal para los proveedores de cuidado de la salud en todos los niveles de experiencia. Capitulo en linea, tambien en espanol, sobre seguridad del paciente en oncologia.

In order for the ideal of international trade to become reality, customs procedures dating back centuries must be eliminated and replaced with modernized practices designed to foster cooperation and efficiency in world trade. The International Customs Modernization Process (ICMP), detailed in this remarkable book, will do just that. With the aid of modern technology and business practices, nations and industries will benefit through improved enforcement of customs, more streamlined trade of goods, and overall growth of economies.

The ICMP is an 11 step process that begins by improving the fundamentals. It then outlines three enabling processes and concludes with implementation and integration of the process and a vision of the promised future.

Rhetorical Unconsciousness and Political Psychoanalysis investigates unintentional forms of persuasion, their political consequences, and our ethical relation to the same. M. Lane Bruner argues that the unintentional ways we are persuaded are far more important than intentional persuasion; in fact all intentional persuasion is built on the foundations of rhetorical unconsciousness, whether we are persuaded through ignorance (the unsayable), unconscious symbolic processes (the unspoken), or productive repression (the unspeakable). Bruner brings together a wide range of theoretical approaches to unintentional persuasion, establishing the locations of such persuasion and providing examples taken from the Western European transition from feudalism to capitalism. To be more specific, phenomena related to artificial personhood and the commodity self have led to transformations in material culture from architecture to theater, showing how rhetorical unconsciousness works to create symptoms. Bruner then examines ethical considerations, the relationships among language in use, unconsciousness, and the seemingly irrational aspects of cultural and political history.