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This report responds to two ongoing mandates under the American Recovery and Reinvestment Act of 2009 (Recovery Act). It is the latest in a series of reports on the uses of and accountability for Recovery Act funds in 16 selected states, certain localities in those jurisdictions, and D.C. These jurisdictions are estimated to receive about two-thirds of the intergovernmental assistance available through the Recovery Act. This report also responds to a mandate to comment on the jobs estimated in recipient reports. The auditor collected and analyzed documents and interviewed state and local officials and other Recovery Act award recipients. He also analyzed federal agency guidance and spoke with individual federal officials. Illustrations.
The new second edition of this valuable resource was written for clinicians by experts in the field. It addresses the increase of pediatric patients in adult ICUs and inpatient pediatric acuity. Two unique approaches are used: the Phenomena of Concern section addresses nursing care issues common to all critically ill pediatric patients; and FInal Common Pathways cover patient problems related to specific disorders. This edition includes a new chapter on Clinical Pharmacology. SCCM admission guidelines have also been added to the practice guidelines section
The revision of this text provides up-to-date information on the science of multiple organ dysfunction syndrome (MODS). This edition brings not only new science but new nomenclature based on the recommendations of the American College of Chest Physicians and the Society of Critical Care Medicine Consensus Conference. The text gives the experienced critical care practitioner the pathophysiologic background and understanding of MODS necessary to develop an effective plan of care and anticipate events associated with this yndrome. The focus is on integration of clinical assessment with pathophysiological knowledge so the decision-making process is based on a scientific and research foundation.
Alphabetically organized by medical diagnosis and procedure name, this revision precisely details the clinical features of 78 pediatric medical and surgical conditions. It covers diagnostic procedures, nursing care, surgical procedures, growth and development, and psychological aspects of care.
In order to gain an understanding of the dynamics of human individual and average growth patterns it is essential that the right methods are selected. There are a variety of methods available to analyse individual growth patterns, to estimate variation in different growth measures in populations and to relate genetic and environmental factors to individual and average growth. This volume provides an overview of modern techniques for the assessment and collection of growth data and methods of analysis for individual and population growth data. The book contains the basic mathematical and statistical tools required to understand the concepts of the methods under discussion and worked examples of analyses, but it is neither a mathematical treatise, nor a recipe book for growth data analysis. Aimed at junior and senior researchers involved in the analysis of human growth data, this book will be an essential reference for anthropologists, auxologists and paediatricians.
What is involved in restoring a river? River Quality: Dynamics and Restoration answers this question through a series of articles and case studies written by some of the field's leading researchers and practitioners. The first part of the book covers the physical, chemical, and biological dynamics of a river system. The second part describes monitoring programs and remedial measures used to restore river systems back to healthy and functional states. The Willamette River in Oregon and the Vistula River in Poland are used to illustrate the dynamic and restoration processes. Each river is in a different stage of restoration and is subjected to different degrees of stress from agriculture, industry, and urbanization. The Willamette is an internationally cited example of a restored river, while the Vistula is a river that has just recently begun the restoration process. Contrasts and comparisons of the two river systems enable readers to learn the limitations of restoration processes and what is involved in the different stages of restoration.
This report responds to two ongoing mandates under the Amer. Recovery and Reinvestment Act of 2009 (Recovery Act). It is the fifth in a series of reports since passage of the Recovery Act on the uses of and accountability for Recovery Act funds in 16 selected states, certain localities in those jurisdictions, and D.C. These jurisdictions receive about two-thirds of the inter-governmental assistance available through the Recovery Act. It is also the second report to comment on the jobs created or retained as reported by recipients of Recovery Act funds. The auditor interviewed state and local officials and other Recovery Act award recipients. He also spoke with officials at federal agencies overseeing Recovery Act programs. Charts and tables.