The thoroughly updated Second Edition of this Spiral(R) Manual provides concise, accessible information on the full spectrum of clinical problems in primary care. Written from the family physician's perspective, the book emphasizes ambulatory care, plus pertinent hospital-based and home-based health problems. Throughout all chapters, the focus is on disease prevention and health maintenance.Topics include frequently encountered diagnostic challenges such as amenorrhea and fatigue, management of common disorders such as diabetes mellitus and hypertension, and selected procedures such as obstetric ultrasound and nasolaryngoscopy. This edition includes three new chapters on valvular heart disease, sexual assault, and pain management. LWW/Medcases Case Companion on-line review tool for this title, click http://www.medcases.com/lippincott
Sexual harassment in the workplace, date rape, and domestic violence dominate the headlines and have recently sparked scholarly debates about the nature of the sexes. Concurrently, the scientific community is conducting research in topics of sex and gender issues. Indeed, more research is being done on the topics of sexual conflict and coercion than at any other time in the history of the social sciences. Despite this attention, it is clear that these issues are being addressed from two essentially different perspectives: one is labeled "feminist", while the other, viewed as antithetical to the feminist movement, is called "evolutionary psychology", which emphasizes the history of reproductive strategies in understanding conflict between the sexes. This book brings together leading experts from both sides of the debate in order to discover how each could offer insights lacking in the other. The editors' overall goal is to show how the feminist and evolutionary approaches are complementary despite their evident differences, then provide an integration and synthesis. In fact, several of the contributors to this unique volume consider themselves advocates of both approaches. As a stimulating presentation of the dynamics of sex, power, and conflict--and a pioneering rapprochement of the diverse tendencies within the scientific community-- this book will attract a wide audience in both psychology and women's studies fields.
This book presents a longitudinal study dealing with developmental changes within and between self-concepts and their relation to personal functioning. Within the psychological literature -- and the developmental literature in particular -- the interest in the ideas people hold about themselves and their relation with personal functioning is rapidly growing. This interest is reinforced by the emphasis on individuality in Western society. The self-system is now thought to consist of a collection of self-concepts in which a distinction is made between domain-specific self-concepts -- the real and ideal -- and context-related self-concepts -- the academic, the athletic and the social. It is also considered to be subjective rather than objective. This subjective self involves characteristics such as continuity and distinctiveness from others. These characteristics have been the primary focus of recent research. In existing literature on the development of the self-system, little is known about the structural characteristics -- that is, developmental changes in the interrelationships among domain-specific and context-related self-concepts, or between and within self-concepts. Similarly, little information is available about the relationships between individuals' real and ideal self concepts, their perceived concepts of others, and the actual ideas others have about the same individuals. This book integrates hitherto separate and different components or aspects of self-knowledge into one encompassing, multidimensional self-system.
Pulsars are stars, a significant part of whose observed energy output is not continuous but is emitted as distinct flashes or pulses of electromagnetic radiation. Many pulsars also emit some radiation weakly and constantly, forming a background for the more intensive pulses. Three distinct classes of pulsars are presently known to astronomers, according to the source of energy that powers the radiation: Rotation-powered pulsars, where the loss of rotational energy of the star powers the radiation X-ray pulsars, where the gravitational potential energy of accreted matter is the energy source, and Magnetars, where the decay of an extremely strong magnetic field powers the radiation. Although all three classes of objects are neutron stars, their observable behaviour and the underlying physics are quite different. There are, however, connections. For example, X-ray pulsars are probably old rotation-powered pulsars that have already lost most of their energy, and have only become visible again after their binary companions expanded and began transferring matter on to the neutron star. The process of accretion can in turn transfer enough angular momentum to the neutron star to "recycle" it as a rotation-powered millisecond pulsar.
The central objective of Men in a Developing Society is to show, as concretely as possible, how men experience a period of rapid economic development, particularly in the areas of migration, occupational mobility, and status attainment. It is based mainly on a sample of 1,640 men in Monterrey, Mexico, a large and rapidly growing manufacturing metropolis in northern Mexico with much in-migration, and a sample of 380 men in Cedral, San Luis Potosí, a small, economically depressed community with high rates of out-migration, much of it to Monterrey. The study of men in Monterrey is perhaps the most thorough one yet conducted of geographic and social mobility in a Latin American city. In part, this was possible because of the innovation of collecting complete life histories that record what each man was doing for any given year in the lay areas of residence, education, family formation, and work. These data permit the effective use of the concepts of life cycle and cohort analysis in the interpretation of the men's geographic and occupational mobility. The experience of the Monterrey men in adapting to the varied changes required by their mobility was not found to be as difficult as is often indicated in the social science literature on the consequences of economic development. In part this may be because Monterrey, in comparison with most other Latin American cities, has been unusually successful in its economic growth. The impact of migration also was lessened because most of the men had visited the city prior to moving there and many had friends or relatives in the city. The age of the migrants upon arrival in Monterrey made a significant difference in subsequent occupational mobility; those of nonfarm background who arrived before age 25 fared better than natives of the city. Although it appears that status inheritance in Monterrey is somewhat higher than in industrialized countries, a considerable proportion of men do move up the occupational ladder. And perhaps as important, the Monterrey men, whether or not they themselves are moving up, perceive the society as an open one. The very success of Monterrey's development created conditions that would bring about changes in the educational, economic, and cultural expectations of its inhabitants. Thus, paradoxically, the general satisfaction and the lack of group and class conflict in Monterrey over the previous decades may well have given rise to future dissatisfaction and conflict.
