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34,793 result(s) for "trouble"
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ADHD is awesome : a guide to (mostly) thriving with ADHD
The must-have resource for anyone who lives with ADHD, either themselves or with an affected family member. Written to appeal to the ADHD brain, ADHD is Awesome is the engaging, uplifting antidote to traditional ADHD books (which, let's be honest if you have ADHD you'd never read anyway).
The bone and mineral manual : a practical guide
Bone and mineral metabolism methods are currently scattered throughout literature, journals and selected book chapters. This book aims to bring such information together in one easily-accessible volume.
Conservatorship : inside California's system of coercion and care for mental illness
\"In the city of Los Angeles, where homelessness is visible in the form of people and their belongings like shopping carts and sprouting clusters of temporary housing, the gravely disabled are easy to overlook. These are people who, defined by the California Welfare and Institutions Code, are unable to take care of their basic needs due mental disorder. In the United States there is a patchwork of state agencies that deal with the precarities associated with the effects of mental illness, which largely respect the wishes of the sufferers, providing them with latitude to make choices about their individual welfare. There are times, however, where the results of mental health on an individual's well being is so dire that a Public Guardian is required to make fundamental life choices for a person, such as where they live, how they spend their money, and what medical treatment they will be given. This is called a conservatorship. In Gravely Disabled, Alex V. Barnard takes the reader through complex system of conservatorship in the state of California. Conservatorship is by no means taken lightly nor is it easy to establish. It requires the deliberate efforts of state officials, families, and medical professionals to mandate people into conservatorship. Civil liberties campaigners, survivors of forced treatment, and clinicians often work in opposition to keep people out of it. What both sides agree on is that this is a life-or-death struggle. With this in mind, Barnard offers a thorough and sensitive portrait of the process of conservatorship, including what happens to get to the establishment of a conservatorship, what happens when one is established, and how this imperfect system can be reformed\"-- Provided by publisher.
Son, we need to talk : coping with my son's suicide
'\"Son, We Need to Talk\" candidly confronts the tough topic of suicide--not an easy assignment for a pastor father. Could he have done anything to save his son's life? How did he miss the signs? And what about his prayers asking God to protect all his children? \"Son, We Need to Talk\" reveals one's father's struggle to regain his balance when his almost twenty-seven-year-old son, brilliant and full of promise, at last gives in to the bouts of depression that had haunted him for so long. In a loving suicide letter, he explains himself, but the reasons he writes down as carbon monoxide fills his vehicle do little to ease the family's pain. His father pleads for him not to kill himself, but of course he's too late. The author can't save the young man, but he does at long last fight his way back to peace. In \"Son, We Need to Talk,\" the author confesses his sense of a loss beyond calculation, of a faith unafraid to ask questions (even of God), of a love that will not let go, and of the ultimate triumph of hope.' -- Page 4 of cover.
PRODUCT SPOTLIGHT
The company's original equipment manufacturer (OEM) team has reconditioned ROSS Mixers to restore them to \"like new\" working condition. Digital valve controllers are accessories for control and on-off valves are used to provide local analysis of valve data and digital communications with host systems, as well as other features. Information can be accessed wirelessly from one or more digital valve controllers from upto 30 ft, and the local user interface displays detailed information via LEDs.
Button pusher
\"Tyler's brain is different. Unlike his friends, he has a hard time paying attention in class. He acts out in goofy, over-the-top ways. Sometimes, he even does dangerous things--like cut up a bus seat with a pocketknife or hang out of an attic window. To the adults in his life, Tyler seems like a troublemaker. But he knows that he's not. Tyler is curious and creative. He's the best artist in his grade, and when he can focus, he gets great grades. He doesn't want to cause trouble, but sometimes he just feels like he can't control himself.\"-- Publisher's webpage.
P111 Chest drain troubleshooting by trainee physicians: an easily deliverable multi-component training module
IntroductionIntercostal chest drains (ICD) are a common medical intervention used in acute medical wards, respiratory wards and sometimes in surgical wards. Despite this, sound understanding of troubleshooting chest drain related issues could be lacking among junior medical staff.ObjectiveWe aimed to develop a comprehensive educational module for ICD troubleshooting aimed at Foundation doctors.MethodsThe training module, with a duration of 2 hours, was planned in 4 different components: 1. A Lecture including a video explaining steps looking after an ICD, detailed assessment of an ICD circuit and common problems. 2. A low fidelity simulation, aided by a working ICD model, explaining ICD troubleshooting, both for pneumothorax and pleural effusion. 3. High fidelity simulation, followed by debrief, based on a real life recent hospital scenario, where the trainees could practice the knowledge they have just gained, alongside utilising team based skills relevant for the scenario. 4. An end-of-session summary of the knowledge/skill gained, and a clinical scenario based quiz to guide the trainees to address their knowledge gaps they might still have. Pre and post-module Likert scale (scale of 1–10, 1=not confident at all, 10=fully confident) questionnaire were used to measure trainees’ confidence and competence of ICD management.ResultsThirty-eight foundation doctors took part in the module. In answering how confident they felt in managing an acutely hypoxic patient with an ICD, the average pre-module score on Likert scale were 3/10 in both FY1 and FY2 groups, rising to 7/10 in each group in the post-module questionnaire. Answering how they felt in general troubleshooting on ICD, in pre-module questionnaire, 41% felt not-at-all competent, 41% wanted direct supervision and 17% felt they could manage under indirect supervision. Post-module, 30% felt independent, 57% could manage under indirect supervision and only 13% still felt that they needed direct supervision. They also felt significantly more confident in identifying the cause of deterioration in a patient with ICD, if the aetiology was related to ICD circuit. They felt the high fidelity simulation consolidated the learning.ConclusionA short 2 hour multi-component training module, that includes traditional teaching methods, alongside low and high fidelity simulation, could be a useful method to build confidence around ICD management amongst trainee doctors.Abstract P111 Figure 1Pre and post-module confidence level on ICD trouble shooting
Pathological : the true story of six misdiagnoses
\"In this stunning debut--both a memoir and a work of investigative journalism--writer Sarah Fay explores the ways we pathologize human experiences. Over thirty years, doctors diagnosed Sarah Fay with six different mental illnesses--anorexia, major depressive disorder (MDD), anxiety disorder, attention deficit hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and bipolar disorder. Pathological is the gripping story of what it was like to live with those diagnoses, and the crippling impact each had on her life. It is also a rigorous investigation into the Diagnostic and Statistical Manual of Mental Disorders (DSM)--psychiatry's \"bible,\" the manual from which all mental illness diagnoses come. Yet as Fay found out, some of our most prominent psychiatrists have been trying to warn us that the DSM is fiction sold to the public as fact. In Pathological, former advisory editor at The Paris Review and award-winning writer Fay calls for a new conversation about mental health diagnosis, one based on rigorous transparency. With exquisite detail and a precise presentation of fact, she digs up her own life at the root to finally ask, Is a diagnosis a lifeline or a self-fulfilling prophecy? Powerful, mesmerizing, and unputdownable, Pathological sits alongside the other brave and inspiring classics of our time that explore a more intelligent, forgiving, and nuanced approach to human suffering\"-- Publisher's description.
Melting dsDNA Donor Molecules Greatly Improves Precision Genome Editing in Caenorhabditis elegans
Abstract Melting and fast cooling double stranded DNA donor molecules prior to injection dramatically increases the frequency of homology-directed repair for edits such as insertions of fluorescent protein markers in Caenorhabditis elegans. Strategies described here enable consistently ... Abstract CRISPR genome editing has revolutionized genetics in many organisms. In the nematode Caenorhabditis elegans, one injection into each of the two gonad arms of an adult hermaphrodite exposes hundreds of meiotic germ cells to editing mixtures, permitting the recovery of multiple indels or small precision edits from each successfully injected animal. Unfortunately, particularly for long insertions, editing efficiencies can vary widely, necessitating multiple injections, and often requiring coselection strategies. Here, we show that melting double-stranded DNA (dsDNA) donor molecules prior to injection increases the frequency of precise homology-directed repair (HDR) by several fold for longer edits. We describe troubleshooting strategies that enable consistently high editing efficiencies resulting, for example, in up to 100 independent GFP knock-ins from a single injected animal. These efficiencies make C. elegans by far the easiest metazoan to genome edit, removing barriers to the use and adoption of this facile system as a model for understanding animal biology.