Steel Line Group
This textbook, now in its third edition, is ideal for graduate dysphagia courses in speech-language pathology programs. The unique value of this book is the multidisciplinary approach it presents. Too often, speech-language pathologists function clinically with insufficient interaction with, or understanding of, the roles of other professionals involved with their patients. This text incorporates information pertinent to the roles, tools, and views of a multidisciplinary dysphagia team, including physicians, speech pathologists, nurse specialists, and dieticians, that works together on a daily basis. For the third edition, the authors have added a companion workbook that includes practical exercises accompanying each chapter - for example, a step-by-step tutorial for making objective measures of timing and displacement from fluoroscopic swallow studies. The exercises are designed to clarify and expand on information presented in the text and should be of interest not only to students but to practicing clinicians hoping to add new skills to their repertoires.Previous chapters have also been thoroughly revised and updated, including new information on the following topics: Effects of head and neck cancer, chemotherapy, and radiation therapies on swallowing Clinical and bedside assessments Survey instruments used by patients and clinicians How surgeries/treatments affecting the head and neck (e. g., cervical spine, thyroid) affect swallowing Greatly expanded information pertinent to unique features of dysphagia associated with CVA, neurogenic and neuromuscular disorders New information regarding reflexive interactions between esophagus and larynx that potentially influence swallowing Assessment in infants and children New tools for nonoral feeding Recommendations for dysphagia diets, and practical ways to implement these Rheologic characteristics of foods and how this information is incorporated in assessment and treatment planning The utility of endoscopy in assessment and treatment; how and why critical endoscopic observations (i.e., aspiration, penetration) may differ from fluoroscopy Greater discussion of radiation and need/recommendations for exposing patients to radiation The value and validation of the anterior-posterior esophageal screen New technologies and improvements in existing technologies for oral-pharyngeal and esophageal dysphagia assessment New information regarding swallowing in the normal elderly, with particular attention to utility of information in differentiating normal from disease Contribution of objective measurement data in treatment planning (in particular, the use of objective data to predict aspiration even when not observed on fluoroscopy) New tools for making measures in dynamic swallow studies that streamline the measurement process A comprehensive overview of behavioral, medical, and surgical approaches to dysphagia The DVD includes an animated tutorial demonstrating techniques for objective measures from fluoroscopy studies. In addition, it includes both normal and patient fluoroscopy studies for review and measurement. The patient studies selected are representative of impairments typically observed in clinical practice (inpatient and outpatient). Other media clips illustrate each instrumental assessment technique introduced in the book (e.g., endoscopic, transnasal esophagoscopy, high resolution manometry), performed on a variety of dysphagic patients. As noted, a separate workbook is also available to reinforce student learning of the concepts presented in the textbook and DVD. With its updated and expanded content, Dysphagia Assessment and Treatment Planning, Third Edition highlights the most current evidence-based research as it applies to a team-based approach to clinical practice.
Analyzing maintenance as an integrated system with objectives, strategies and processes that need to be planned, designed, engineered, and controlled using statistical and optimization techniques, the theme of this book is the strategic holistic system approach for maintenance. This approach enables maintenance decision makers to view maintenance as a provider of a competitive edge not a necessary evil.
Encompassing maintenance systems; maintenance strategic and capacity planning, planned and preventive maintenance, work measurements and standards, material (spares) control, maintenance operations and control, planning and scheduling, maintenance quality, training, and others, this book gives readers an understanding of the relevant methodology and how to apply it to real-world problems in industry.
Each chapter includes a number exercises and is suitable as a textbook or a reference for a professionals and practitioners whilst being of interest to industrial engineering, mechanical engineering, electrical engineering, and industrial management students. It can also be used as a textbook for short courses on maintenance in industry.
This text is the second edition of the book, which has four new chapters added and three chapters are revised substantially to reflect development in maintenance since the publication of the first edition. The new chapters cover reliability centered maintenance, total productive maintenance, e-maintenance and maintenance performance, productivity and continuous improvement.
How successful is your congregation as a multi-generational congregation, united in love of the Lord, joyful worship, and service to a broken world? Good planning needs a clear understanding of the problems and opportunities so have a church team use the Manual's challenging yet realistic evaluations to evaluate your strengths and weaknesses and begin planning for the future to which God is inviting you and your new members!
The First Evaluation is taken from a study by the Hartford Institute for Religious Research on factors that predict growth or decline in churches. We selected the best predictors of growth for the Manual. These elements involve the congregation's mission and purpose, its vitality and spirituality, its willingness to meet new challenges, the nature of the main worship service as being joyful rather than stilted, and whether the members are involved in outreach. Your evaluation team's members each rate the present performance of the church and develop a joint value as a baseline to measure future results. Throughout your time together team members also use a personal notebook to record insights for improvement actions that will be invaluable in later planning sections.
The Second Evaluation utilizes 10 factors which characterize the culture of the younger generations from Dr. Johnson's book "Where have all the Young People Gone" (2012). Your team discovers how social interaction between older church members and the younger generations might create some discomfort and works to proactively identify possible solutions.
The Third Evaluation is similar to the second in that it addresses the young people's cultural values, but here they are taken from a college chaplain's advice regarding how to get more young people involved. Your team now moves beyond the objective scientific elements using the nuances found here to provide another great opportunity to understand the younger generations.
In this third evaluation we introduce discussion of specific moral issues such as mixing pharisaic teaching and behavior with basic Christian anchoring (focusing on the letter of the law, rather than on the spirit of the law). The insight in this section is that congregations who love the law rather than love the Lord will find Generations X and Y hard to attract.
The Fourth and Fifth Evaluations are linked together in the Manual because they cover similar issues with living Jesus' New Commandment of love. Your team looks at coffee hours, social and business meetings, and greeting new people at Sunday services.
The New Commandment is the most serious of the generational issues. It appears widely but is taken for granted and often simply set aside; the bible, however, talks about actually becoming a new person in Christ. Jesus said, "Just as I have loved you, you should love one another. By this everyone will know that you are my disciples if you have love for one another" (John 13:34-35). This emphasis is vital to the Manual. Our conviction is that effectively reaching out to others through evangelism, the Great Commandment of Jesus, loses much of its punch unless love is integral to the efforts.
Planning: When your congregation's team has finished the evaluations, they have covered elements found in a spiritually powerful church; they understand young people on many different levels; and they have some idea where your own church stands with respect to love (sheep, goat or hybrid). Their notebooks are filled with insights for possible improvement actions and the love that must go with them. The Manual at this stage provides guidance to your team for drafting both a proposed vision statement and sample action plans. Your team's results, in preparation for building the love in your hearts for those that God already has in mind for your church to minister with, are, finally, entrusted to the leaders of your church for implementation.
While many quality improvement processes in business have enjoyed initial success, most have eventually failed--not producing the desired long-term results. This is because, though our learning curve is good, we still lack the sophistication requisite to generate the necessary comprehensive whole. This work attempts to help define the ingredients of such a whole. It then offers a case history which allows us to see what happens when the results of these efforts are actually put into place. Finally, it identifies the key obstructions to and long-range societal opportunities resulting from successful implementation of such wholes. According to Roth, there are five necessary phases to any comprehensive quality process: familiarization, team building, training, introduction to statistical measurement techniques, and long-range planning. In addition, truly open communication at all levels and real and continual, as opposed to verbal, top-level management support are crucial. Roth explores the five phases in detail. He then presents a blow-by-blow description of their emplacement at two major manufacturing facilities. This work should be of interest to quality process heads, human resource managers, manufacturing managers, top level executives, and scholars and students of quality improvement.
Most of us avoid estate planning, which in plain English means getting our affairs in order, until we face a life-changing event such as: The birth or adoption of a child; the diagnosis of an illness that threatens disability or death; a family member or close friend dies unexpectedly; a new marriage with one or both spouses having children from a previous marriage. And sometimes it's just because we're about to take a trip. I congratulate you because you've decided to take action rather than wait for a crisis or emergency. If you've made an appointment with an estate planning attorney or are about to make that appointment, this book will help you get the estate plan that meets your needs and objectives, not your attorney's needs and objectives. How do I know, because I've been an estate planning and probate attorney for 30 years. This book does NOT include fill-in-the-blank Wills, Trusts, Powers of Attorney or Guardianship forms. If you want a do-it-yourself estate plan this is not the book for you. In 30 years as an estate planning and probate attorney, I've seen only heartache and regret from the use of do-it-yourself legal forms. It almost always turns out to be the proverbial penny-wise and pound-foolish. My objective is to guide you, the Client, to an excellent Client experience and the estate plan that's best for you.
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