With an understanding of healthcare issues, you can improve patient care and advance the nursing profession! Contemporary Nursing: Issues, Trends, & Management, 9th Edition ensures that you are prepared for the complex and rapidly changing world of today's nursing. Coverage of key topics includes nursing theories and evidence-based practice, social and ethical issues, the rising cost of health care, quality improvement and patient safety, palliative care, effective decision-making, collective bargaining and unions, managing time, and career opportunities. Written by noted nursing educators Barbara Cherry and Susan R. Jacob, this text not only prepares you for the NCLEX-RN (R) examination, but for effective leadership and management in the workplace. Vignettes at the beginning of each chapter personalize nursing practice and history, and help you understand your place in the profession. Full-color illustrations and design demonstrate concepts and make the text visually appealing. Case studies help you apply theory to clinical practice. Colorful, humorous cartoons depict the themes in each chapter. Key terms, learning outcomes, and chapter overviews begin each chapter, helping you organize and focus your study, and a summary at the end of each chapter reinforces the key points to remember. Professional/Ethical Issue in every chapter tests your ability to think critically and apply concepts to a real-life dilemma. Unit 3: Leadership and Management in Nursing guides you through skills such as budgeting, communication and conflict resolution, staffing, health policy and politics, and more. Unit 4: Career Management describes how to make the transition from student to professional, including time management, career opportunities, and tips on how to pass the NCLEX-RN (R) examination. NEW! Information on COVID-19 covers preparedness for a pandemic response, legal issues and ethical dilemmas of COVID-19, the nursing shortage, access to personal protective equipment, and the growth of telehealth/telemedicine care. NEW! Clinical Judgment chapter emphasizes the development of clinical reasoning skills. NEW! Additional coverage in Theories of Nursing Practice chapter includes the application of theories in nursing practice, Watson's theory of caring, and Swanson's middle range theory. NEW! Updated coverage of delegation and supervision includes the most current guidelines from the National Council of State Boards of Nursing. NEW! Updates to contemporary trends and issues include AACN essentials, associate degree-BSN, nursing education in other countries, online programs, distance education, and more. NEW! Updates in Paying for Health Care in America chapter cover current payment models, the social determinants of health, and healthcare access. NEW! Additional information on CBD oil and the legalization of marijuana is included.

Friendship and Rhetoric in the Middle Ages: The Linguistic Performance of Intimacy from Cicero to Aelred covers approximately 1,200 years of literature. This is a book on "medieval literature" that foregrounds language as the agent for cultivating medieval friendship (from the first century BC to c. 1160 AD) in oratorical, ecclesiastical, monastic, and erotic contexts. Taking a different approach than many works in this area, which search for the lived experience of friends behind language, this book stands apart in looking at friendship's enactment through rhetorical language among classical and medieval authors.

Contemporary accounts of urban Native identity in two pan-Indian communities In the last half century, changing racial and cultural dynamics in the United States have caused an explosion in the number of people claiming to be American Indian, from just over half a million in 1960 to over three million in 2013. Additionally, seven out of ten American Indians live in or near cities, rather than in tribal communities, and that number is growing. In Indigenous Memory, Urban Reality, Michelle Jacobs examines the new reality of the American Indian urban experience. Drawing on ethnographic research conducted over two and a half years, Jacobs focuses on how some individuals are invested in reclaiming Indigenous identities whereas others are more invested in relocating their sense of self to the urban environment. These groups not only apply different meanings to indigeneity, but they also develop different strategies for asserting and maintaining Native identities in an urban space inundated with false memories and fake icons of "Indian-ness." Jacobs shows that "Indianness" is a highly contested phenomenon among these two groups: some are accused of being "wannabes" who merely "play Indian," while others are accused of being exclusionary and "policing the boundaries of Indianness." Taken together, the interconnected stories of relocators and reclaimers expose the struggles of Indigenous and Indigenous-identified participants in urban pan-Indian communities. Indigenous Memory, Urban Reality offers a complicated portrait of who can rightfully claim and enact American Indian identities and what that tells us about how race is "made" today.

Friendship and Rhetoric in the Middle Ages: The Linguistic Performance of Intimacy from Cicero to Aelred covers approximately 1,200 years of literature. This is a book on "medieval literature" that foregrounds language as the agent for cultivating medieval friendship (from the first century BC to c. 1160 AD) in oratorical, ecclesiastical, monastic, and erotic contexts. Taking a different approach than many works in this area, which search for the lived experience of friends behind language, this book stands apart in looking at friendship's enactment through rhetorical language among classical and medieval authors.

An introduction to a large and complicated subject, which has come to be called the Scientific Revolution, this book refers to the fundamental changes in our understanding of the natural world that occurred in the sixteenth and seventeenth centuries. These changes led to a rejection of ancient and medieval thinking about the universe in favour of the new thinking that gave birth to modern science. Professor Jacob does not pretend to tell the whole story of this momentous transformation, which is perhaps more important than any other in modern history. But he does highlight and survey what are often considered to be the six principal developments associated with this shift from old to new science. The six changes are: first, the abandonment of an ancient Greek picture of an earth-centred universe and its replacement by the modern picture of a solar system surrounded by an enormous universe; second, the gradual rejection of the Aristotelian binary physics in favour of the modern physics of universal forces; third, a medical revolution that culminated in the discovery of the circulation of the blood, and put animal (and human) physiology on a new foundation; fourth, the shift from an Aristotelian theory of knowledge to a modern scepticism; fifth, the development of new methods for establishing scientific certainty; and, finally, the founding of the world's first national, government-sponsored scientific societies for promoting research, spreading scientific knowledge, and stimulating inquiry.

Organic dusts are particles of vegetable, animal, and microbial origin and are found in a wide range of occupational and general environments. This comprehensive handbook discusses organic dusts and their effects on man. Organic Dusts describes the different environments in which organic dusts are present; it also explains the major components of dusts and which diseases they can induce after inhalation. The first book to completely cover this important environmental exposure, this valuable reference presents a systematic approach to disease pathology and offers revised terminology for diagnosis based on the latest information on cell reactions and the functioning of the immune system.

Introduction to Cell Mechanics and Mechanobiology is designed for a one-semester course in the mechanics of the cell offered to advanced undergraduate and graduate students in biomedical engineering, bioengineering, and mechanical engineering. It teaches a quantitative understanding of the way cells detect, modify, and respond to the physical properties within the cell environment. Coverage includes the mechanics of single molecules, polymers, polymer networks, two-dimensional membranes, whole-cell mechanics, and mechanobiology, as well as primer chapters on solid, fluid, and statistical mechanics, and cell biology.

Introduction to Cell Mechanics and Mechanobiology is the first cell mechanics textbook to be geared specifically toward students with diverse backgrounds in engineering and biology.

Assessment of cardiac energetics at the level of ATP-synthesis, chemomechanical energy transformation and whole organ dynamics as a function of haemodynamic load, ventricular configuration and oxygen- and substrates supply is basic to understanding cardiac function under physiological and pathophysiological (hypertrophy, hypoxia, ischaemia and heart failure) conditions. Moreover, cardiac energetics should be an important consideration in the choice and application of drugs especially in the case of vasodilators, inotropic agents and in cardioprotective measures. Only by considering energetics at the subcellular, cellular, and whole-heart level we can arrive at a better understanding of cardiac performance and ultimately better clinical judgement and drug therapy. Quantification of myocardial energetics will also help to determine the optimal time for surgical interventions such as valvular replacement or aneurysm resection. The present volume is the outcome of an international symposium on cardiac energetics held in Gargellen/Montafon (Austria), June 1986. The contributions will certainly help bridge the existing gap between basic research involving isolated structures and that involving the whole organ, on the one hand, and render the results derived from basic research applicable to clinical problems, on the other hand.

The past years have witnessed considerable progress in the field of fundamental research in cardiology. Nevertheless, numerous problems and controversial concepts remain. Some of these controversies concern relatively simple issues, e. g. the question of the extent to which a common length-tension or pressure-volume relationship exists independent of type of contraction and preload. The present volume is a compendium of an Erwin Riesch sympo- sium held July 12-13,1985, with the aim of critically analysing generally accepted concepts and theories as well as current trends in cardiology. In common with previous Erwin Riesch symposia, priority was given to issues concerning chronic reactions of the heart, although basic principles of normal myocardial contraction and ventricular dynamics as well as clinical aspects were also discussed. We are greatly indebted to the Erwin Riesch-Stiftung for the invaluable generosity which enabled us to hold the symposium. R.Jacob VII Contents Foreword ...V I. Contractile elementary processes: Cross-bridge theory and excitation-contraction coupling The cross-bridge cycle in muscle. Mechanical, biochemical, and structural studies on single skinned rabbit psoas fibers to characterize cross-bridge kinetics in muscle for correlation with the actomyosin-ATPase in solution Brenner, B ...Calcium sensitivity of myofilaments in cardiac muscle - effect of myosin phosphorylation Morano, I. and J. C. Ruegg...17 Ca-pools involved in the regulation of cardiac contraction under positive inotropy. X-ray microanalysis on rapidly-frozen ventricular muscles of guinea-pig Wendt -Gallitelli, Maria F...25 The contribution of Na channel block to the negative inotropic effect of antiarrhythmic drugs Honerjiiger, P...

Cardiac hypertrophy and accompanying phenomena have received increasing attention in recent years - particularly in the basic sciences. The present volume contains the proceedings of the Erwin RIESCH SYMPOSIUM on "CARDIAC ADAPTATION TO HEMODYNAMIC OVERLOAD, TRAINING AND STRESS" held in Tiibingen on Sep tember 19-22, 1982. In addition to the topics of the previous symposia (1976 and 1979) concerned with problems of cardiac hypertrophy, the scope of this sequel meeting has been expanded to include related fields. The intention was to consider numerous related features and problems of chronic reactions of the heart (and vascular system) to abnormal hemodynamic loading, as well as alterations due to maturation, aging, training, neuroendocrine status and stress. Special attention has been paid to cardiac reactions at the level of contractile proteins. The results are considered primarily in light of long-term adaptation of the heart. Of course, research at the forefront of current knowledge need not always lead to congruent conclusions. Neither can the individual contributions always agree with the viewpoint of the editors. However, the broad array of individual approaches employed by biochemists, biolo gists, pathologists, physiologists, pharmacologists and clinical cardio logists will certainly help to provide a more balanced interpretation of the results in individual fields, stimulate reexamination of established con cepts and provide direction for future research."

Can today's innovative practices and molecular tools tame this ancient disease? One third of the world's population is infected with tuberculosis (TB), with about 10 million new cases annually. To combat TB and its agent, Mycobacterium tuberculosis, the World Health Organization launched The End TB Strategy, which aims to slash the suffering and cost of TB by 2035. This makes the second edition of Tuberculosis and the Tubercle Bacillus, edited by Jacobs, McShane, Mizrahi, and Orme, an extremely valuable resource for scientists and clinicians. The editors have gathered their colleagues from around the world to present the latest on the molecular biology of M. tuberculosis and related species, the host-pathogen interactions that enable invasion, and the host's immune response to M. tuberculosis infection. The basic, clinical, and translational research presented in this book supports the goals of WHO's End TB Strategy by driving toward the development of effective vaccines, rapid molecular diagnostics, and anti-TB drugs. .

Contemporary accounts of urban Native identity in two pan-Indian communities In the last half century, changing racial and cultural dynamics in the United States have caused an explosion in the number of people claiming to be American Indian, from just over half a million in 1960 to over three million in 2013. Additionally, seven out of ten American Indians live in or near cities, rather than in tribal communities, and that number is growing. In Indigenous Memory, Urban Reality, Michelle Jacobs examines the new reality of the American Indian urban experience. Drawing on ethnographic research conducted over two and a half years, Jacobs focuses on how some individuals are invested in reclaiming Indigenous identities whereas others are more invested in relocating their sense of self to the urban environment. These groups not only apply different meanings to indigeneity, but they also develop different strategies for asserting and maintaining Native identities in an urban space inundated with false memories and fake icons of "Indian-ness." Jacobs shows that "Indianness" is a highly contested phenomenon among these two groups: some are accused of being "wannabes" who merely "play Indian," while others are accused of being exclusionary and "policing the boundaries of Indianness." Taken together, the interconnected stories of relocators and reclaimers expose the struggles of Indigenous and Indigenous-identified participants in urban pan-Indian communities. Indigenous Memory, Urban Reality offers a complicated portrait of who can rightfully claim and enact American Indian identities and what that tells us about how race is "made" today.

Now going into its third much-expanded edition, the highly praised Nutritional Health: Strategies for Disease Prevention has been brought fully up to date to include all the new thinking and discoveries that have the greatest capacity to improve human health and nutritional advancement. About half the new edition will be revised and updated from the second edition while the other half will consist of major revisions of previous chapters or new subjects. Like the two previous editions the book will consist of general reviews on various topics in nutrition, especially those of much current interest. The authors provide extensive, in-depth chapters covering the most important aspects of the complex interactions between diet, its nutrient components, and their impacts on disease states, and on those health conditions that increase the risk of chronic dieases. Up to date and comprehensive, Nutritional Health: Strategies for Disease Prevention, Third Edition offers physicians, dietitians, and nutritionists a practical, data-driven, integrated resource to help evaluate the critical role of nutrition.

Richard Neustadt's seminal work "Presidential Power: The Politics of Leadership" has endured for nearly four decades as the core of academic study of the American presidency. Now, building on and challenging many of the arguments in Neustadt's work, "Presidential Power: Forging the Presidency for the Twenty-first Century" offers reflections and implications from what we have learned about presidential power as the new century dawns.

These essays -- including a new contribution by Neustadt himself -- forge a solid reexamination of Neustadt's "Presidential Power" that address questions raised but not resolved by his work. A notable aspect of this volume's analysis is the transformed institution of the presidency in the wake of the impeachment hearings of the country's last twentieth-century president, Bill Clinton. From the portrayal of presidents as persuaders to the politics of presidential transitions, each of the constituent essays in this volume provides an engaging look at the state of the American presidency.