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1

Pennington, Bill. Guidelines for California's solar electric incentive programs (Senate Bill 1) ]: Committee final guidelines. 2nd ed. [Sacramento, Calif.]: California Energy Commission, 2008.

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2

Pennington, Bill. Guidelines for California's solar electric incentive programs pursuant to Senate Bill 1: Draft guidelines. 2nd ed. Sacramento, Calif.]: California Energy Commission, 2008.

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Pennington, Bill. Guidelines for California's solar electric incentive programs (Senate Bill 1). 2nd ed. [Sacramento, Calif.]: California Energy Commission, 2008.

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4

Electical calculations and guidelines for generating stations and industrial plants. Boca Raton: Taylor & Francis, 2012.

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5

Penttinen, Jyrki T. J. The LTE-advanced deployment handbook: The planning guidelines for the fourth generation networks. Chichester, West Sussex, United Kingdom: John Wiley & Sons Inc., 2016.

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6

Guidelines for designing and implementing sustainable supplementary school feeding and income generation programmes. Lusaka, Zambia: Social Conditions Programme, Jesuit Centre for Theological Reflection, 2010.

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7

National AIDS Control Organization (India). Operational guidelines for programme managers and service providers for strengthening STI / RTI services. New Delhi: National AIDS Control Organization, Ministry of Health and Family Welfare, Govt. of India, 2007.

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8

rndahl, L. Bjo. Clinical andrology: EAU/ESAU course guidelines. New York: Informa Healthcare, 2010.

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9

Hochschwender, James. Guidelines for credit administration systems for NGO income generating and small enterprise programmes. Nairobi, Kenya: Kenya Rural Enterprise Programme, 1985.

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10

M, Roberto-Nichols Diane, and Stanley-Haney J. Lynn, eds. Guidelines for nurse practitioners in gynecologic settings. 9th ed. New York: Springer, 2007.

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11

Andronnikova, Ol'ga. Fundamentals of psychological counseling. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1078378.

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The textbook contains the necessary information on the sections of the courses "Fundamentals of psychological counseling", "Psychotherapeutic method as the basis of practical activity of a psychologist", "Special problems of psychological counseling and psychotherapy", "Theory and practice of psychological counseling", "Family Counseling", "Counseling and psychotherapeutic work with children and adolescents". Methodological guidelines, the main theoretical ideas of the lecture course, tasks for students to perform independent work and self-control, exercises for developing skills are presented. Meets the requirements of the federal state educational standards of higher education of the latest generation. It is intended for students studying in psychological specialties in the technology of full-time and part-time education.
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Andronnikova, Ol'ga. Special problems of psychological counseling. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1084976.

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The textbook provides information and the necessary methodological assistance for the formation of professional competencies in the field of consulting practice. It includes a set of information on various special issues of psychological counseling, sections of the course "Counseling Psychology", "Training of counseling skills", "Special problems of psychological counseling". The guidelines, the main theoretical ideas of the lecture course, tasks for performing independent work by students and self-control, exercises for developing skills are given. Meets the requirements of the federal state educational standards of higher education of the latest generation. It is intended for students studying in the psychological specialties of the master's degree, and beginning practical work of psychological consultants who experience methodological difficulties in determining the specifics and structure of counseling for various psychological problems.
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13

Baholdina, Irina, and Nina Golysheva. Accounting and financial accounting. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1121598.

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The textbook consists of 15 chapters, as well as a set of practical (situational) cases for independent work of students of economic universities and faculties. Each chapter contains methodological guidelines for practical classes and situational tasks that allow integrating the knowledge gained in the process of studying financial accounting. The final part of the textbook contains a cross-cutting task, the solution of which allows the student to complete an internship as an accountant at a conditional enterprise. The complex of practical (situational) cases for students ' independent work consists of 10 options and includes five cases. Meets the requirements of the federal state educational standards of higher education of the latest generation. It is intended for undergraduate students studying in the direction of training 38.03.01 "Economics "(profile "Accounting, analysis and audit"), teachers, students of economic specialties of full-time, part-time, correspondence and distance learning, students of the system of additional professional education, practitioners of accounting services, management personnel, audit companies.
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14

Borisova, M. Pedagogy of the camp. ru: INFRA-M Academic Publishing LLC., 2017. http://dx.doi.org/10.12737/25002.

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Academic edition is a part of the educational complex consisting of a tutorial and workshop, which is designed to help the students in mastering of educational disciplines included in the undergraduate program, and teaching practice. The textbook discusses the history of the emergence and development of summer camps, presents materials that are necessary for the organization of work in children's camp: theoretical foundations of organizing the activities of counselors, guidelines for working with children of different age groups, the performance of the regime moments, forms and methods of organization of process of education in DOLLARS, etc. In the workshop the material presented on the organization of different activities of children and adolescents in the camp. The allowance is aimed at assisting the counselor in working with the temporary children's collective in the conditions of the camp. The content of the textbook meets the requirements of Federal state educational standard of higher education of the last generation. For students of higher educational institutions enrolled in the fields of study within the enlarged group "Education and pedagogy", as well as professionals of education and all those interested in problems of children's recreation and recuperation.
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15

Bashkatov, Aleksandr, Roman Zasedatelev, and Evgeniy Sumerkin. Computer programs in the electric power industry. Workshop. ru: INFRA-M Academic Publishing LLC., 2021. http://dx.doi.org/10.12737/1048798.

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The workshop consists of two chapters. The first one is basic, in the form of 10 works aimed at studying primary-level application programs. The second-extended-contains guidelines for seven works with software complexes (systems "Electric", DIALux) and a description of the application of programs for project purposes (calculation of the crossbar, sPlan, "1-2-3 Scheme", etc.). Along with the practical section, each topic includes reference and information support in the form of theoretical material. The papers contain basic information about the operations performed with mandatory references to specialized literature, including a review of standard examples and individual tasks in the applications section for monitoring the knowledge gained. Meets the requirements of the federal state educational standards of secondary vocational education of the latest generation. For students in the specialty "Power supply (by industry)" when conducting laboratory work on the academic discipline "Electrical Engineering", as well as when solving design problems, during course and diploma design, organizing practices. It can be useful not only for students of electric power specialties, but also for anyone who, by the nature of their activity, is faced with the need to perform calculations of electric networks using a computer.
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16

Green, Daryl D. Awakening the Talents Within: A Guideline for the Next Generation of Leaders. Writers Club Press, 2000.

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17

Green, Daryl D. Awakening the Talents Within: A Guideline for the Next Generation of Leaders. Writers Club Press, 2001.

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18

Campbell, Haynes Margaret, ABA Center on Children and the Law., and United States. Office of Child Support Enforcement., eds. Child support guidelines: The next generation. [Washington, D.C.]: Office of Child Support Enforcement, Administration for Children and Families, U.S. Dept. of Health and Human Services, 1994.

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19

Hurley, Donnacadh. Income Generation: Schemes for the Urban Poor (Development Guidelines). Humanities Press Intl Inc, 1990.

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20

Hurley, Donnacadh. Income Generation: Schemes for the Urban Poor (Development Guidelines). Humanities Press Intl Inc, 1990.

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21

Guideline for diesel generating plant specification and bid evaluation. Washington, D.C. (1818 H St., N.W., Washington 20433): World Bank, 1991.

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22

Updating Personnel Vetting and Security Clearance Guidelines for Future Generations. RAND Corporation, 2021. http://dx.doi.org/10.7249/rra757-1.

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23

Penttinen, Jyrki T. J. LTE-Advanced Deployment Handbook: The Planning Guidelines for the Fourth Generation Networks. Wiley & Sons, Incorporated, John, 2015.

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24

Penttinen, Jyrki T. J. LTE-Advanced Deployment Handbook: The Planning Guidelines for the Fourth Generation Networks. Wiley & Sons, Incorporated, John, 2015.

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25

E, Baker Thomas. Electrical Calculations and Guidelines for Generating Station and Industrial Plants. Taylor & Francis Group, 2018.

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26

Baker, Thomas E. Electrical Calculations and Guidelines for Generating Stations and Industrial Plants. CRC Press, 2017. http://dx.doi.org/10.1201/b11253.

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27

National Institute for Research in Reproductive Health (India) and National AIDS Control Organization (India), eds. National guidelines on prevention, management, and control of reproductive tract infections including sexually transmitted infections. New Delhi: National AIDS Control Organisation, Ministry of Health & Family Welfare, Govt. of India, 2007.

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28

World Health Organization (WHO). Reproductive Health Indicators. Guidelines for their Generation, Interpretation and Analysis for Global Monitoring. World Health Organization, 2006.

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29

Tanzania. Wizara ya Afya na Ustawi wa Jamii., National AIDS Control Programme (Tanzania), and Tanzania. Reproductive and Child Health Section., eds. National guidelines for management of sexually transmitted and reproductive tract infections. [Dar es Salaam]: National AIDS Control Programme & Reproductive and Child Health Section, 2007.

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30

Council, Applied Technology, United States. Federal Emergency Management Agency., and National Earthquake Hazards Reduction Program (U.S.), eds. Next-generation performance-based seismic design guidelines: Program plan for new and existing buildings. Washington, D.C: FEMA, 2006.

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31

Electrical Calculations and Guidelines for Generating Stations and Industrial Plants, Second Edition. Taylor & Francis Group, 2017.

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32

Electrical Calculations and Guidelines for Generating Stations and Industrial Plants, Second Edition. CRC Press, 2017. http://dx.doi.org/10.1201/9781351228381.

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33

Butler, Gary, and Jeremy Kirk. Endocrine investigations and laboratory reference ranges. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199232222.003.0101.

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General guidelines 330GH provocation tests 331Tests for GH secretion 332IGF-1 generation test 334Oral glucose tolerance test for investigating excess GH secretion 335TRH test 336LHRH/GnRH (gonadotropin-releasing hormone) stimulation test 337Triple pituitary stimulation test 338Water deprivation test (WDT) 340...
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34

California Environmental Protection Agency. Air Resources Board. Stationary Source Division., California Environmental Protection Agency. Air Resources Board. Mobile Source Division., and California Environmental Protection Agency. Air Resources Board., eds. Mobile source emission reduction credits: Guidelines for the generation and use of mobile source emission reduction credits. [Sacamento]: State of California, California Environmental Protection Agency, Air Resources Board, 1993.

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35

(Editor), Joellen W. Hawkins, Diane M. Roberto-Nichols (Editor), and J. Lynn Stanley-Haney (Editor), eds. Guidelines for Nurse Practitioners in Gynecologic Settings, 9th Edition. 9th ed. Springer Publishing Company, 2007.

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36

Alagoz, Esra, Kim Johnson, Andrew Quanbeck, and David Gustafson. Technology-Based Interventions for Late-Life Addiction. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199392063.003.0011.

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Late-life addiction has been a neglected topic in the field of substance-use disorders research. Research suggests that with the aging baby-boomer generation, decline in fertility rates, and increases in life expectancy, there will be an increasing demand on the substance-abuse treatment systems designed specifically for individuals aged 65 and older in the next decade. Emerging technologies such as electronic health records, dashboards, communication tools, and new-generation monitoring devices offer significant opportunities to advance the treatment and recovery management of substance use disorders. This chapter explains the emerging technologies that are being used in addiction treatment and proposes guidelines for how these systems can be adopted for older adults by drawing on experiences from ElderTree, an interactive health technology designed for older populations.
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37

Guidelines for generating preclinical and clinical data for r-DNA based vaccines, dignostics and other biologicals. New Delhi: Dept. of Biotechnology, Ministry of Science and Technology, Govt. of India, 1999.

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38

Guidelines for preparation of specifications for steam-turbine generators: Applicable for approximately 100 MW and larger dedicated to power generation. New York, N.Y: ASME, 1990.

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39

Neisius, Andreas, Micheal E. Lipkin, Glenn M. Preminger, and James F. Glenn. Stone fragmentation techniques. Edited by John Reynard. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0017.

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After its implementation in 1980, shock wave lithotripsy (SWL) became the first-line treatment for more than 80% of patients with urolithiasis. During the last three decades, SWL technology has advanced rapidly in terms of shock wave generation, focusing, patient coupling, and stone localization. Indications for SWL have evolved as well. Although endoscopic treatment techniques continue to improve, SWL continues to be considered first-line therapy for the treatment of many urinary stones. This chapter reviews the fundamental principles of SWL and presents advances in lithotripsy technology such as shock wave generation and focusing, advances in stone localization (imaging), different energy source concepts, and coupling modalities. Our understanding of the pathophysiology and the physics of shock waves can enhance extracorporeal SWL efficacy while limiting complications. Finally, current indications for and contraindications to SWL depending on stone location and in context of the updated AUA/EAU Guidelines are discussed.
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40

Powell, Byron J., Krystal G. Garcia, and Maria E. Fernandez. Implementation Strategies. Edited by David A. Chambers, Wynne E. Norton, and Cynthia A. Vinson. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190647421.003.0007.

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Implementation strategies are methods or techniques that can be used to enhance the adoption, implementation, scale-up, and sustainment of evidence-based cancer control practices into routine care. This chapter defines implementation strategies, presents several taxonomies of implementation strategies that can be used to address multilevel implementation barriers, describes guidelines for reporting and specifying implementation strategies to ensure the efficient generation of knowledge and the replication of effective strategies in research and practice, briefly overviews the state of evidence for strategies, and suggests ways in which they can be carefully developed and applied to address the needs of specific contexts. The chapter concludes by presenting several research priorities related to implementation strategies.
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41

Kotzer, Katrina E., and Sarah E. Kerr. Molecular Technologies and Test Issues. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190604929.003.0005.

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Molecular genetic testing has been around since the discovery and offering of clinical testing for the first gene sequenced. However, in recent years the methods and scope of molecular genetic testing have evolved significantly to encompass next-generation sequencing, multigene panels, and whole exome and genome testing. With this evolution in molecular methods, the nomenclature and variant evaluation and annotation processes are crucial for the systematic and standard interpretation of molecular test results. This chapter will provide the laboratory genetic counselor with information about the common sample types analyzed by molecular techniques for the purposes of genetic testing and the various methodologies available and their limitations. Guidelines are given for the standard approach to molecular variant reporting with respect to nomenclature and variant classification.
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42

Hazell, Philip. The treatment of bipolar disorder in children and adolescents. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198748625.003.0021.

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The presentation of bipolar disorder in young people can be different from that of adults; therefore, the approach to treatment differs slightly. Treatment is described for early intervention, acute mania, bipolar depression, relapse prevention, and refractory bipolar disorder. A strong therapeutic alliance with the patient and engagement and involvement of the patient’s family is critical to successful intervention. The evidence informing treatment is limited, but there is emerging research focused on the management of acute mania favouring monotherapy with a second-generation antipsychotic (SGA) over a mood stabilizer. Preliminary data favour a combination of an SGA and antidepressant over monotherapy with an SGA for the treatment of bipolar depression. Guidelines endorse electroconvulsive therapy for refractory mania and bipolar depression but there is no clinical trial evidence to support this practice. The development of algorithms to guide the management of all phases of bipolar disorder is a work in progress.
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43

Nacher, Mathieu. Using pathogen interactions: challenges and opportunities. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780198789833.003.0010.

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The germ theory of disease, mostly based on single causal pathogenesis, has improved life expectancy and changed human life. Distilling general guidelines on a new generation of public health interventions that acknowledge and use ecology and evolution to reduce the burden of disease remains difficult. Interactions are numerous; their consequences vary, depending on the context, making forecasting difficult. “Last-mile” problems are pervasive, with implementation problems keeping medical knowledge from reaching those most in need. Much of the avoidable burden of infectious disease results from lack of access to modern prevention and treatment methods, from the lack of health structures in poor countries. This chapter concerns major causes of death and disability and suggests that if used strategically, this knowledge could alleviate the burden of infectious diseases. Understanding pathogen-pathogen interactions (e.g., gastrointestinal nematodes and malaria, schistosomiasis and malaria and Wolbachia and filariae) may open opportunities for public health gains.
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44

Goldberg, Pablo H., Prerna Martin, Carolina Biernacki, and Moira A. Rynn. Treatments for Pediatric Bipolar Disorder. Oxford University Press, 2015. http://dx.doi.org/10.1093/med:psych/9780199342211.003.0009.

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The past two decades have seen significant advances in the development of evidence-based treatments for pediatric bipolar disorder. Practice guidelines recommend pharmacotherapy with mood stabilizers or second-generation antipsychotics (SGAs) as the first-line treatment. Lithium, risperidone, aripiprazole, quetiapine, and olanzapine are approved by the U.S. Food & Drug Administration for treating bipolar disorder in children and adolescents. The pharmacological literature suggests that SGAs are faster and more effective than mood stabilizers in treating acute manic or mixed episodes, but they have significant side effects and require careful monitoring. While mild to moderate bipolar disorder can be treated with monotherapy, combination pharmacotherapy with an SGA and a mood stabilizer is recommended for youth with severe bipolar disorder. A growing body of literature also suggests the efficacy of psychosocial interventions, with family psychoeducation and skills building as adjunct treatments to pharmacotherapy. More type 1 studies of pharmacotherapy and psychosocial treatments are needed.
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45

Shishkova, E. V., ed. Guidelines for implementation remote educational projects by example project for the development of flexible skills in the field of practical psychology " PSI GENERATION "(Methodological manual. Practicum)/ under the editorship of E. V. Shishkova. The Kuban Multidisciplinary Academy of Training, Retraining, and Continual Education for Specialists Non-state educational Private Institution. Additional Vocational, 2020. http://dx.doi.org/10.17748/2075-9908-2020-01-120.

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46

Monitoring Framework for Universal Health in the Americas. Pan American Health Organization, 2021. http://dx.doi.org/10.37774/9789275122709.

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The need to transform health systems in the Region of the Americas also evidences the need for a framework of regional reference to measure the progress of policies aimed at strengthening health systems and achieving universal health. Monitoring Framework for Universal Health in the Americas has been prepared with the aim of supporting the analysis of progress and performance of public policies, the generation of evidence and the decision-making to transform or strengthen health systems. Similarly, its purpose is to be integrated into the national processes of planning, monitoring, evaluation, and accountability of progress Member States in the implementation of the measures contained in Resolution CD53.R14. It is expected that the application of this framework will contribute to better policies as well as collaborative work and learning in the Region. This publication offers general guidelines for technical units of national health authorities, which may adapt them according to their own context and needs. The proposed activities could be implemented in an integrated manner with the technical cooperation work of the Pan American Health Organization and related tools developed to strengthen capacities for monitoring, evaluation, and analysis of transformation processes of health systems to advance toward universal health in the Region of the Americas.
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47

Bell, Stuart, Donald McGillivray, Ole Pedersen, Emma Lees, and Elen Stokes. Environmental Law. Oxford University Press, 2017. http://dx.doi.org/10.1093/he/9780198748328.001.0001.

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Trusted by generations of students and academics alike, Environmental Law continues to provide, in its ninth edition, broad and comprehensive coverage of the key topics taught on most environmental law courses, explaining the subject in its social and political context, and considering both UK, EU, and international perspectives. Known for its clear structure and systematic approach, the book considers topics by theme and by sector, allowing more experienced readers to explore the intricacies of the subject while also providing a logical introduction for those new to environmental law or without a legal background. A clear and easy-to-understand writing style helps ensure readers are informed yet not overwhelmed, while useful diagrams and tables help to explain complex points. The new edition also features case studies, information boxes, and self-test questions to help draw out key points and consolidate your learning in preparation for assessments and further research. New to this edition are: discussions of the potential impact of Brexit on UK environmental law; an additional chapter discussing the regulation of new technologies, such as ‘fracking’; coverage of important cases such as Coventry v. Lawrence on nuisance, Walton, Champion, and the HS2 decision on environmental assessment, the ClientEarth air pollution litigation and the ICJ’s decision in Costa Rica v. Nicaragua; analysis of the Paris Agreement and other recent climate change developments; analysis of the new EIA Directive; discussion on the new sentencing guidelines; and enhanced coverage of the latest developments in respect to costs of litigation and the role of courts, the Aarhus Convention, and environmental rights.
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48

Kočka, Viktor, Steen Dalby Kristensen, William Wijns, Petr Toušek, and Petr Widimský. Percutaneous coronary interventions in acute coronary syndromes. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0047.

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Three different guidelines of the European Society of Cardiology cover the field of percutaneous coronary interventions. Their main recommendations are the following:All patients with an ST-segment elevation myocardial infarction should undergo immediate coronary angiography and percutaneous coronary intervention as soon as possible after the first medical contact. Thrombolysis can be used as an alternative reperfusion therapy if the time delay to primary percutaneous coronary intervention is more than 2 hoursPatients with very high-risk non-ST-segment elevation acute coronary syndromes (recurrent or ongoing chest pain, profound or dynamic electrocardiogram changes, major arrhythmias, or haemodynamic instability) should undergo urgent coronary angiography within less than 2 hours after the initial hospital admissionAll moderate- to high-risk (GRACE score >140 or at least one primary high-risk criterion) non-ST-segment elevation acute coronary syndromes patients should undergo coronary angiography before discharge; the ideal timing is within 24 hours after admission for high-risk groups, and within 72 hours for moderate-risk groupsOther patients with recurrent symptoms or at least one high-risk criterion should undergo coronary angiography within 72 hours of first presentationLow-risk non-ST-segment elevation acute coronary syndromes may be treated conservatively, and the indication for an invasive evaluation can be done, based on the evidence of ischaemia during exercise stress testingStents should be used during all percutaneous coronary intervention procedures, whenever technically feasible. Second-generation drug-eluting stents do not increase stent thrombosis and can be safely used in the ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome settingsTriple pharmacotherapy, consisting of aspirin, thienopyridine antiplatelet agent, and anticoagulation with heparin or bivalirudin, should be used in all percutaneous coronary intervention procedures, with glycoprotein IIb/IIIa inhibitors added in patients with a high thrombus burden and low bleeding risk
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49

Kočka, Viktor, Steen Dalby Kristensen, William Wijns, Petr Toušek, and Petr Widimský. Percutaneous coronary interventions in acute coronary syndromes. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0047_update_001.

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Three different guidelines of the European Society of Cardiology cover the field of percutaneous coronary interventions. Their main recommendations are the following:All patients with an ST-segment elevation myocardial infarction should undergo immediate coronary angiography and percutaneous coronary intervention as soon as possible after the first medical contact. Thrombolysis can be used as an alternative reperfusion therapy if the time delay to primary percutaneous coronary intervention is more than 2 hoursPatients with very high-risk non-ST-segment elevation acute coronary syndromes (recurrent or ongoing chest pain, profound or dynamic electrocardiogram changes, major arrhythmias, or haemodynamic instability) should undergo urgent coronary angiography within less than 2 hours after the initial hospital admissionAll moderate- to high-risk (GRACE score >140 or at least one primary high-risk criterion) non-ST-segment elevation acute coronary syndromes patients should undergo coronary angiography before discharge; the ideal timing is within 24 hours after admission for high-risk groups, and within 72 hours for moderate-risk groupsOther patients with recurrent symptoms or at least one high-risk criterion should undergo coronary angiography within 72 hours of first presentationLow-risk non-ST-segment elevation acute coronary syndromes may be treated conservatively, and the indication for an invasive evaluation can be done, based on the evidence of ischaemia during exercise stress testingStents should be used during all percutaneous coronary intervention procedures, whenever technically feasible. Second-generation drug-eluting stents do not increase stent thrombosis and can be safely used in the ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome settingsTriple pharmacotherapy, consisting of aspirin, thienopyridine antiplatelet agent, and anticoagulation with heparin or bivalirudin, should be used in all percutaneous coronary intervention procedures, with glycoprotein IIb/IIIa inhibitors added in patients with a high thrombus burden and low bleeding risk
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50

Kočka, Viktor, Steen Dalby Kristensen, William Wijns, Petr Toušek, and Petr Widimský. Percutaneous coronary interventions in acute coronary syndromes. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199687039.003.0047_update_002.

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Three different guidelines of the European Society of Cardiology cover the field of percutaneous coronary interventions. Their main recommendations are the following: All patients with an ST-segment elevation myocardial infarction should undergo immediate coronary angiography and percutaneous coronary intervention as soon as possible after the first medical contact. Thrombolysis can be used as an alternative reperfusion therapy if the time delay to primary percutaneous coronary intervention is more than 2 hours. Patients with very high-risk non-ST-segment elevation acute coronary syndromes (recurrent or ongoing chest pain, profound or dynamic electrocardiogram changes, major arrhythmias, or haemodynamic instability) should undergo urgent coronary angiography within less than 2 hours after the initial hospital admissionAll moderate- to high-risk (GRACE score >140 or at least one primary high-risk criterion) non-ST-segment elevation acute coronary syndromes patients should undergo coronary angiography before discharge; the ideal timing is within 24 hours after admission for high-risk groups, and within 72 hours for moderate-risk groups. Other patients with recurrent symptoms or at least one high-risk criterion should undergo coronary angiography within 72 hours of first presentation. Low-risk non-ST-segment elevation acute coronary syndromes may be treated conservatively, and the indication for an invasive evaluation can be done, based on the evidence of ischaemia during exercise stress testing. Stents should be used during all percutaneous coronary intervention procedures, whenever technically feasible. Second-generation drug-eluting stents do not increase stent thrombosis and can be safely used in the ST-segment elevation myocardial infarction and non-ST-segment elevation acute coronary syndrome settings. Triple pharmacotherapy, consisting of aspirin, thienopyridine antiplatelet agent, and anticoagulation with heparin or bivalirudin, should be used in all percutaneous coronary intervention procedures, with glycoprotein IIb/IIIa inhibitors added in patients with a high thrombus burden and low bleeding risk.
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