Its coverage progresses from an introduction through the evolution of switching systems and electromechanical systems to stored-program-controlled digital systems and future broadband systems. Coverage includes: modern digital networks; modern digital switching systems; digital transmission, including synchronous digital hierarchy; broadband networks including ATM; and integrated services digital network (ISDN). The book is intended for use on graduate courses in telecommunications.

    Today, we hear stories of over-worked midwives and short-staffed hospitals, but the truth is that childbirth has never been easier. For our grandmothers, pregnancy was a journey into the unknown. Rather than ponder which pushchair to buy or fret over towelling versus disposable nappies, they worried about what lay ahead. Home births were often lonely affairs with the midwife or doctor only visiting when birth was imminent. During hospital births, medical staff rarely gave explanations and would push and prod with little offer of pain relief let alone sympathy. Standard care in labour was the O.B.E. - Oil, Bath and Enema. Nursing staff gave firm rules on how long to stay in bed, how to lie in bed and even when to go to the toilet. And life didn't get much easier after giving birth. Taking care of a home and baby was hard work when there were few washing machines, no disposable nappies and heating came from coal carried in from the back yard.

    This text provides a reliable foundation in anatomy and physiology, pathophysiology, medical management, and nursing care for the full spectrum of adult health conditions. The roles of various healthcare professionals in managing each disorder and are clearly outlined, and evidence-based practice and clinical guidelines are integrated throughout the text.

    Thousands of teens across the country think that hurting themselves is the only way they can feel better, even though they continue to feel alone and out of control.There are a lot of reasons why teens hurt themselves. None of them are your fault. You can’t change your past, but there is a lot you can do, right now, to make your future a place you’d like to spend some time, a place free from the pain, loneliness and isolation of cutting. This workbook offers a great way for you to make it happen.The exercises in Stopping the Pain will help you explore why you self-injure and give you lots of ideas how you can stop. The book will help you learn new skills for dealing with issues in your life, reduce your stress, and reach out to others when you need to. Work through the book, or just check out the sections that speak to you the most. This is your own personal and private road map to regaining control of your life.

    That's more than die from motor vehicle accidents, breast cancer, or AIDS--three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems.To Err Is Human breaks the silence that has surrounded medical errors and their consequence--but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agenda--with state and local implications--for reducing medical errors and improving patient safety through the design of a safer health system.This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes.Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errors--which begs the question, "How can we learn from our mistakes?"Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care.To Err Is Human asserts that the problem is not bad people in health care--it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocates--as well as patients themselves.First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

    We would all like to reach a stage where we are able to live off the income from our savings and investments. Sadly, only 5 out of every 100 people reach that stage. This highly accessible book is aimed at anyone who wants to learn how to make their first million in savings. The book provides real examples of ordinary people who have reached their financial goals and explains how you can do the same. It also provides practical ways of setting goals and keeping yourself motivated to achieve them, especially in tough times. How to Make Your First Million provides people from all walks of life with practical information on how to achieve financial freedom in a range of different ways and shows that it is possible for everyone to be financially free.

    This book not only teaches you how to drop unwanted pounds while enjoying your favorite foods, it also teaches you how to live longer and stay healthy by applying the power of intermittent fasting to your life today! Stop torturing yourself with grueling diets that restrict you from eating your favorite foods! The 5:2 diet makes losing weight easier and tastier than ever! Though the 5:2 diet itself is fairly new, the concept of fasting and the study of the benefits of intermittent fasting on human health are not. Leading scientists have been studying the amazing health benefits of fasting for over 20 years. Dr. Michael Mosley, founder of the 5:2 fast diet, popularized the fast diet months after he had gone to see his doctor for a routine checkup and was unexpectedly diagnosed with diabetes, high cholesterol and metabolic syndrome. Refusing to be treated with drugs, Dr. Michael Mosley set out to find a way to heal himself naturally. After not seeing any success with traditional dieting he decided to explore intermittent fasting. The 5:2 diet and intermittent fasting work! After only 3 months on the 5:2 diet he lost 20 pounds of fat, normalized his blood glucose and lowered his cholesterol and blood pressure. The fast diet also allowed him to maintain his ideal weight. Research professor of medicine at Washington University, Dr. Luigi Fontana proved through his studies on various organisms that a 25-30% reduction in calories could increase lifespan by 50% and prevent disease. With the 5:2 diet you can expect to lose 1 to 2 pounds of fat every week. On fast days, both women and men are encouraged to cut their calorie intake to about one quarter of what it normally is. Women should eat 500 calories on fast days and men should eat 600 calories. In a step by step way The 5:2 Diet for Beginners - How the 5:2 Diet Can Make Your Body a Fat-Burning Machine and Help You Live Longer will teach you everything you need to know about how to successfully apply the 5:2 diet to your life today for fast weight loss and better health. The 5:2 Diet for Beginners teaches you: What is the 5:2 diet? Why was the 5:2 diet created? Why fasting is so effective for weight loss and longevity How the 5:2 diet works What to eat on fast days 11 Quick tips to help you succeed on the 5:2 diet What to expect on the 5:2 diet Fast day 30 MINUTE recipes under 500 calories .....and more Here's a preview of what you'll learn: Why the 5:2 diet works The benefits of intermittent fasting How to make your fast days easy The 5:2 diet and high intensity training Exactly how your fast days and feed days will work How to maintain your ideal weight .....and much more! Dieting shouldn't be drudgery! You were meant to enjoy your life at your ideal wight with fabulous health! The 5:2 fast diet will keep you living happy and healthy for a really long time! D

    It presents practical, clinically-oriented content across a range of topics: quick find features, portability, functionality, and more of the commonly-used clinical information.

    It offers unique preparation for the NCLEX Examination and effectively equips you to practice in today's fast-paced healthcare environment.The only workbook available that provides in-depth practice with prioritization, delegation, and assignment questions similar to those you'll see on the NCLEX Examination, including questions in alternate item formatsUnique three-part organization that (1) equips you with foundational skills to make sound decisions, then helps you apply those skills (2) in straightforward scenarios and (3) then in complex health scenariosIn-depth Answer Key at the back of the book that provides not only the correct answer but also a detailed rationale and an indication of the focus of the question, whether prioritization, delegation, supervision, or patient assignment.Expanded content focus to include psychiatric/mental health, OB/maternity, and pediatrics along with med-surg areasNew chapters on infection control and obstetrics and maternityGreater emphasis on questions involving core body systems and related health problems, such as diabetes and cancer, to best prepare you for the conditions you are most likely to encounter on the NCLEX Examination and in clinical practiceFour new unfolding cases addressing long-term care, pediatrics, psychiatric/mental health nursing, and OB/maternityAdditional emphasis on medication safety equips you to take appropriate actions to prevent or remediate medication errorsMultiple-select questions revised to include at least 5 response choices each, keeping you up to date with the full range of NCLEX Examination item formats

    The proctored TEAS test, developed by Assessment Technologies, Inc. (ATI), measures basic essential skills in reading, mathematics, science, and English and language usage. With revised and updated questions throughout, this study guide contains instructional content in each of the four key areas, along with practice tests and answer keys, and a comprehensive test and answer key.

    Susan Macqueen was 12 years old when she accompanied her mother to see her friend Ms. Fairweather, the matron at the local nursing home, and from that day on she knew she wanted to be a nurse. A few years later, despite being told that her grades weren't good enough, Susan was accepted on the three-year nurses training course at Addenbooke's hospital in Cambridge. It wasn't long before Susan knew she wanted to work with children and set her sights on a job at Great Ormond Street. Thirty-five years later, on her third attempt, Susan has finally retired from that iconic hospital and is enjoying a more leisurely pace of life. Hope, despair, laughter, and tears, Susan's stories move the reader through the incredible stories that she was faced with on an every day basis.

    This new edition specifically features three new care plans, two expanded care plans, updated content and language reflecting the most current clinical practice and professional standards, enhanced QSEN integration, a new emphasis on interprofessional collaborative practice, an improved page design, and more. It's everything you need to create and customize effective nursing care plans!

    Arguing from within the sensibility of devout liberal Hindus who do not believe in exclusive religious nationalism, Juluri argued that these writers had turned their crusade against Hindutva into an egregiously misplaced existential attack on popular Hinduism. Widely read and commented on by lay readers and academics, this important review essay is essential reading for who anyone who cares for both Hinduism and secularism today.

    Cream, published by Phaidon in 1998, was a sensational cultural event. Fresh Cream consolidates the biennial status of Cream as a frame of reference and an essential source of new art for art professionals and newcomers alike. Pursuing the theme of its predecessor, with 10 new world-class contemporary curators each choosing ten emerging artists, the book presents in its entirety the works of 100 artists and an up-to-the-minute global overview of the contemporary art world, not only for now but also for the future. These artists have risen to intense international acclaim since the 1990s or, in the opinion of the curators who have selected them, are about to emerge internationally in the near future. Fresh Cream contains the enormous breadth of ideas and forms that exist in contemporary art. The artists' spreads are arranged in an A-Z order, featuring numerous examples of each artist's work alongside a concise text from the selecting curator and vital biographical information about the artist. A conversation between the 10 curators and the commissioning editor gives a penetrative insight into their selections and of the key issues in contemporary art. The cultural context in which the artists work - from philosophy to fiction - is presented through recent texts from 10 contemporary writers, one selected by each curator. Itself embodying the creative originality and innovation of its content, Fresh Cream is packaged in an incredible, inflated, clear plastic pillow.

    This latest edition includes new notes and exercises, and has a freshly designed, learning-friendly format that makes it more relevant and accessible to students of poetry in Southern Africa.