Written by one of North America's foremost authorities on the subject, this is the first sustained treatment of the complex relationship between real interest rates and investment returns. Spiro focuses specifically on the problems of measuring and predicting real interest rates in order to optimize corporate investment and borrowing strategy. The book provides a wealth of practical advice in such key areas as choosing types of investment instruments, selecting the best term to maturity, and assessing the risks versus rewards of different types of bond instruments. Considering the complex subject, the book is surprisingly well written. Corporate financial officers, in particular, will want to read it. "Journal of Accountancy"

Written by one of North America's foremost authorities on the subject, this is the first sustained treatment of the complex relationship between real interest rates and investment returns. The author focuses specifically on the problems of measuring and predicting real interest rates in order to optimize corporate investment and borrowing strategy. An invaluable decisionmaking tool for financial officers, treasurers, and portfolio managers, the book is written in clear, non-technical language and provides a wealth of practical advice in such key areas as choosing types of investment instruments, selecting the best term to maturity, and assessing the risks versus rewards of different types of bond instruments.

Spiro bases his book on rigorous empirical research and relates new findings in financial economics to the on-the-job problems and uncertainties faced by corporate investment managers. He highlights research which indicates that even moderate rates of inflation can have a substantial negative effect on the real interest rate and provides detailed empirical estimates to help the reader predict the value of the real interest rate under varying conditions. Additional topics covered include the impact of real interest rate changes on stock prices, the effects of exchange rate risk on international fixed income investment and borrowing, and the effects of government debts and deficits on real interest rates. Taken together, the information offered here will enhance the financial professional's ability to predict important interest rate trends and therefore increase the quality of their investment and financial decisions.

Growing up in the fifties, Carolyn Spiro was always in the shadow of her more intellectually dominant and social outgoing twin, Pamela. But as the twins approached adolescence, Pamela began to succumb to schizophrenia, hearing disembodied voices and eventually suffering many breakdowns and hospitalizations.
"Divided Minds" is a dual memoir of identical twins, one of whom faces a life sentence of schizophrenia, and the other who becomes a psychiatrist, after entering the spotlight that had for so long been focused on her sister. Told in the alternating voices of the sisters, "Divided Minds" is a heartbreaking account of the far reaches of madness, as well as the depths of ambivalence and love between twins. It is a true and unusually frank story of identical twins with very different identities and wildly different experiences of the world around them. "This harrowing but arresting memoir--written in alternating voices by identical twins, now in their 50s--reveals how devastating schizophrenia is to both the victim and those who love her."--"Publishers Weekly" starred review "[A] riveting memoir . . . "Divided Minds" does a remarkable job of interpreting [a] hellish realm."--"People," three stars "["Divided Minds"] successfully yields compelling insights on familial bonds and the ravaging effects of mental illness on family."--Library Journal "The combination of first-person narratives provides an unusually well-rounded portrait of schizophrenia."--"Kirkus"

The lung and its contiguous structures are commonly involved in several of the rheumatic diseases (Table 1), either by direct manifestation of disease or as a secondary effect from infection or complications of therapy. In this chapter, we detail the various pulmonary manifestations of the major rheu- matological conditions. The common symptoms of pulmonary diseases and how frequently they are implicated in rheumatic disorders are review- ed. In addition, radiology and physiology of the lung, diagnostic proce- dures and therapeutic options are discussed. Table l. Respiratory associations of the rheumatic disorders Disease Airways Parenchyma Vessels WalVmuscles Lung Pleura Pulmonary Chest pleurisy hypertension Rheumatoid bronchiectasis, pneumonia, arthritis obliterative fibrosing effusion bronchiolitis alveolitis, empyema nodules Systemic pneumonia pleurisy hypertension lupus fibrosing effusion shrinking lungs erythematosus alveolitis, with high atelectasis diaphragm Systemic bronchiectasis fibrosing hypertension "encased chest" sclerosis alveolitis, aspiration pneumonia Sjogren's bronchitis fibrosing alveolitis syndrome lymphoma Dermatomyositis aspiration myopathy polymyositis pneumonia, fibrosing alveolitis Ankylosing upper lobe cos- spondylitis fibrosis vertebral fixation joint Behget's haemorrhage aneurysm syndrome Relapsing upper airway polychondritis narrowing Pulmonary vasculitides nodules The Respiratory System in Rheumatic Diseases 25 1. 2. Respiratory Symptoms The most common respiratory symptoms in patients with rheumatic disease and pulmonary involvement are non-specific and include cough, breathlessness and chest pain and can be the result of involvement of air- ways, lung parenchyma, pleura, chest wall or pulmonary vessels. 1. 3. Tissue Involvement 1. 3. 1.